Curiosity or Underdiagnosed? Injuries to Thoracolumbar Spine with Concomitant Trauma to Pancreas
Abstract
:1. Introduction
2. Materials and Methods
2.1. TraumaRegister DGU® (TR-DGU)
2.2. Inclusion and Exclusion Criteria
2.3. Statistical Analysis
3. Results
4. Discussion
Study Limitations
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Without Pancreatic Injury n = 43,879 | With Pancreatic Injury n = 400 | |
---|---|---|
Age [years], mean (SD) | 49.9 (20.2) | 43.1 (18.6) |
Male gender, n (%) | 31,505 (71.8) | 272 (68.0) |
Severity of thoracolumbar trauma | ||
AIS 2, n (%) | 32,103 (73.2) | 317 (79.3) |
AIS 3, n (%) | 8597 (19.6) | 51 (12.8) |
AIS 4, n (%) | 832 (1.9) | 8 (2.0) |
AIS 5, n (%) | 2347 (5.3) | 24 (6.0) |
ISS [points], mean (SD) | 23.8 (12.4) | 35.7 (16.0) |
ISS ≥ 25 points, n (%) | 16,525 (37.7%) | 287 (71.8) |
Injury mechanism | ||
Traffic—car, n (%) | 10,443 (23.8) | 152 (38.0) |
Traffic—motorbike, n (%) | 5924 (13.5) | 68 (17.0) |
Traffic—bicycle, n (%) | 2545 (5.8) | 14 (3.5) |
Traffic—pedestrian, n (%) | 2369 (5.4) | 19 (4.8) |
High fall (>3 m), n (%) | 13,295 (30.3) | 95 (23.8) |
Low fall (<3 m), n (%) | 6231 (14.2) | 15 (3.8) |
Relevant head injury, AIS > 3, n (%) | 12,549 (28.6) | 114 (28.5) |
Relevant thoracic trauma, AIS > 3, n (%) | 24,616 (56.1) | 323 (80.8) |
Injuries of the extremities, AIS ≥ 2, n (%) | 13,295 (30.3) | 179 (44.8) |
Without Pancreatic Injury n = 43,879 | With Pancreatic Injury n = 400 | |
---|---|---|
LOS [days], mean (SD) | 22.1 (21.7) | 32.8 (30.2) |
ICU LOS [days], mean (SD) | 8.7 (12.4) | 17.5 (18.4) |
In-hospital mortality, n (%) | 4256 (9.7) | 70 (17.5) |
Sepsis *, n (%) | 1878 (8.3) | 40 (19.4) |
MOF *, n (%) | 5949 (25.7) | 114 (54.0) |
AIS Thoracolumbar | OR | CI 95% |
---|---|---|
≤1 | (reference) | |
2 | 1.93 | 1.68–2.20 |
3 | 1.16 | 0.87–1.54 |
4 | 1.87 | 0.93–3.78 |
5 | 1.99 | 1.32–3.00 |
2–5 | 1.78 | 1.57–2.01 |
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Hax, J.; Halvachizadeh, S.; Jensen, K.O.; Berk, T.; Teuber, H.; Di Primio, T.; Lefering, R.; Pape, H.-C.; Sprengel, K.; TraumaRegister DGU. Curiosity or Underdiagnosed? Injuries to Thoracolumbar Spine with Concomitant Trauma to Pancreas. J. Clin. Med. 2021, 10, 700. https://doi.org/10.3390/jcm10040700
Hax J, Halvachizadeh S, Jensen KO, Berk T, Teuber H, Di Primio T, Lefering R, Pape H-C, Sprengel K, TraumaRegister DGU. Curiosity or Underdiagnosed? Injuries to Thoracolumbar Spine with Concomitant Trauma to Pancreas. Journal of Clinical Medicine. 2021; 10(4):700. https://doi.org/10.3390/jcm10040700
Chicago/Turabian StyleHax, Jakob, Sascha Halvachizadeh, Kai Oliver Jensen, Till Berk, Henrik Teuber, Teresa Di Primio, Rolf Lefering, Hans-Christoph Pape, Kai Sprengel, and TraumaRegister DGU. 2021. "Curiosity or Underdiagnosed? Injuries to Thoracolumbar Spine with Concomitant Trauma to Pancreas" Journal of Clinical Medicine 10, no. 4: 700. https://doi.org/10.3390/jcm10040700