Abstract text (incl. references and figure legends)
Background
The role of reverse shock index multiplied Glasgow coma scale (rSIG) in trauma patients with traumatic brain injury (TBI) has not yet been defined well. Our study aimed to investigate the predictive performance of rSIG according to age group.
Method
This is a prospective multi-national and multi-center cohort study using Pan-Asian Trauma Outcome Study registry in Asian-Pacific, conducted on trauma patients who visited participating hospitals. The main exposure was low rSIG measured at emergency department. The main outcome was in-hospital mortality. We performed multilevel logistic regression analysis to estimate the association low rSIG and study outcomes. Interaction analysis between rSIG and age group were also conducted.
Results
Low rSIG was significantly associated with an increase in in-hospital mortality in trauma patients with and without TBI (aOR (95% CI): 1.49 (1.04-2.13) and 1.71 (1.16-2.53), respectively). The ORs for in-hospital mortality differed according to the age group in trauma patients with TBI (1.72 (1.44-1.94) for the young group and 1.13 (1.07-1.52) for the old group; p<0.05).
Conclusion
Low rSIG is associated with an increase in in-hospital mortality in adult trauma patients. However, in patients with TBI, the prediction of mortality is significantly better in younger patient group.
Disclosure: Do you have a significant financial interest, consultancy or other relationship with products, manufacturer(s) of products or providers of services related to this abstract? (If not, please enter "No" in the text field.)
no