Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2018 Oct;6(4):349-354.
doi: 10.29252/beat-060413.

Analysis of Risk Factors with Hospital Mortality in Pedestrian Injured Patients; A Dataset Analysis of a Level-I Trauma Center in Southern Iran

Mahnaz Yadollahi  1 , Narges Rahmanian  1 , Kazem Jamali  1
Affiliations

Analysis of Risk Factors with Hospital Mortality in Pedestrian Injured Patients; A Dataset Analysis of a Level-I Trauma Center in Southern Iran

Mahnaz Yadollahi et al. Bull Emerg Trauma. 2018 Oct.

Abstract

Objective: To determine the indicators predicting the hospital mortality in pedestrian injured patients admitted to a level I trauma center in Southern Iran.

Methods: This case control study was conducted in a Level-I trauma hospital in Shiraz. We selected all survived pedestrians who were admitted in the hospital with duration of admission more than 24 hours in one year from March 2016 to February 2017 as control group and compared with all non-survived pedestrian patients who expired in the hospital according to clinical from March 2012 to February 2017. Multiple logistic regression was performed to identify factors of hospital effect on pedestrian mortality and results expressed by Odds Ratios and their confidence intervals (CI) of 95%.

Results: A total of 424 survived pedestrian injured patients were compare to 117 non-survived one. Their mean of survived and non-survived patients were 43.79 ± 19.37 and 56.76 ± 18.55 years respectively of which 361 (66.7%) and 180 (33.3%) were men and women, respectively. We found that the gender does not have any relation with hospital mortality (p=0.275). Followed by, age is in relevance with mortality. Glasgow Coma Scale(GCS), Injury Severity Score (ISS), blood urea nitrogen (BUN), platelet (PLT), potassium (K) and hemoglobin (Hb) are significant factor which are associated with mortality. According to logistic analysis GCS ≤8 (p<0.001), low hemoglobin level <9 (p=0.030), BUN >24 (p<0.001), thrombocytopenia <150,000 (p<0.001), and hypokalemia <3.5 (p=0.01) were independently associated with hospital mortality. Among them, GCS≤8 was 72.237 times more likely to be associated with hospital mortality (OR =72.24, CI95% =23.19- 225.05).

Conclusion: The results suggest that GCS score, ISS, hemoglobin level, platelet count, BUN and potassium level might be independent factors associated with hospital mortality in pedestrian injured patients.

Keywords: Accidents; Hospital mortality; Injury; Pedestrian; Traffic.

PubMed Disclaimer

Conflict of interest statement

None declared.

References

    1. Violence WHODo, Prevention I, Violence WHO, Prevention I, Organization WH. Global status report on road safety: time for action. World Health Organization; 2009.
    1. Organization WH. Projections of mortality and causes of death, 2015 and 2030. Geneva, Switzerland: The World Health Organization; 2015.
    1. Violence WHO, Prevention I, Organization WH. Global status report on road safety 2013: supporting a decade of action. World Health Organization; 2013.
    1. Nantulya VM, Reich MR. The neglected epidemic: road traffic injuries in developing countries. BMJ (Clinical research ed) 2002;324(7346):1139–41. - PMC - PubMed
    1. Bhalla K, Shahraz S, Naghavi M, Bartels D, Murray C. Road traffic injuries in Iran. Harvard University Initiative for Global Health Road Traffic Injury Metrics Group; 2008.

LinkOut - more resources