Anatomical Injury Clusters in Polytrauma Patients

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Authors	BIRRI Tanja PAPE Hans-Christoph DENNLER Cyrill SIMMEN Hans-Peter VOMELA Jindřich CHALOUPKA Richard MICA Ladislav
Year of publication	2022
Type	Article in Periodical
Magazine / Source	Journal of Surgery and Research
MU Faculty or unit	Faculty of Sports Studies
Citation
Web	https://www.fortunejournals.com/articles/anatomical-injury-clusters-in-polytrauma-patients.html
Doi	http://dx.doi.org/10.26502/jsr.10020270
Keywords	Polytrauma, AIS, ISS, Truncal Trauma, Retrospective Cohort Study
Description	Polytrauma is a major cause of death in young adults. The trial was to identify clusters of interlinked anatomical regions to improve strategical operational planning in the acute situation. A total of 2219 polytrauma patients with an ISS (Injury Severity Score) ? 16 and an age ? 16 years was included into this retrospective cohort study. Pearson’s correlation was performed amongst the AIS (Abbreviated Injury Scale) groups. The predictive quality was tested by ROC (Receiver Operating Curve) and their area under the curve. Independency was tested by the binary logistic regression , AIS ?3 was taken as a significant injury. The analysis was conducted using IBM SPSS® 24.0. The highest predictive value was reached in the combination of thorax, abdomen, pelvis and spine injuries (ROC: abdomen for thorax 0.647, thorax for abdomen 0.621, pelvis for thorax 0.608, pelvis for abdomen 0.651, spine for thorax 0.617). The binary logistic regression revealed the anatomical regions thorax, abdomen pelvis and spine as per-mutative independent predictors for each other when a particular injury exceeded the AIS ?3. The documented clusters of injuries in truncal trauma are crucial to define priorities in the polytrauma management.