Predictive factors of mortality in patients with abdominal trauma

Basit Öğe Kaydı
dc.authorid0000-0001-8456-8020
dc.authorid0000-0002-9079-1023
dc.authorid0000-0003-3407-1942
dc.authorid0000-0002-5629-3143
dc.authorid0000-0002-6320-9667
dc.authorid0000-0002-1930-3293
dc.authorid0000-0001-9210-914X
dc.contributor.authorTuran, Ömer Faruk
dc.contributor.authorGökdere, Didem Çankaya
dc.contributor.authorGenç, Murat
dc.contributor.authorBulut, Bensu
dc.contributor.authorAkkanöz Öz, Medine
dc.contributor.authorMutlu, Hüseyin
dc.contributor.authorYazıcı, Ramiz
dc.date.accessioned2025-07-25T07:56:22Z
dc.date.available2025-07-25T07:56:22Z
dc.date.issued2025
dc.departmentTıp Fakültesi
dc.description.abstractTraumatic injuries, particularly abdominal trauma, are a major cause of mortality worldwide. This study aimed to evaluate predictive factors for mortality and morbidity in abdominal trauma patients using simple, rapid, and accessible clinical and laboratory parameters, with a focus on developing scoring systems for emergency department decision-making. METHODS: A retrospective cohort study was conducted in a Level 1 Trauma Center between October 2022 and March 2024. Patients aged 18 and older with abdominal trauma or multi-trauma were included, while cases with incomplete records, known chronic diseases, or a recent trauma history were excluded. Data on demographics, vital signs, laboratory results, imaging findings, clinical scores, and outcomes were collected. Logistic regression and receiver operating characteristic (ROC) analyses were performed to identify independent mortality predictors and their cut-off values. RESULTS: Out of 693 patients, the mortality rate was 3.6%. The most common mechanisms of trauma were road traffic accidents (59.3%) and falls (23.4%). Independent predictors of mortality included age >= 54 years, Glasgow Coma Scale (GCS) <= 14, Injury Severity Score (ISS) >= 24, and Shock Index >= 1.08. ROC analysis revealed that GCS had the highest predictive value for mortality (area under the curve [AUC]: 0.828), followed by ISS, age, and Shock Index. Elevated levels of alanine aminotransferase (ALT), aspartate aminotransferase (AST), lactate, and creatinine were associated with worse outcomes, aligning with findings in the literature. CONCLUSION: Age, GCS, ISS, and Shock Index are strong predictors of mortality in abdominal trauma patients. Integrating these parameters into clinical decision-making can enhance risk stratification and improve patient management. Prospective multicenter studies and national trauma registries are necessary to refine trauma care and reduce mortality rates.
dc.identifier.doi10.14744/tjtes.2025.64644
dc.identifier.endpage282
dc.identifier.issn1306-696X / 1307-7945
dc.identifier.issue3
dc.identifier.startpage276
dc.identifier.urihttps://dx.doi.org/10.14744/tjtes.2025.64644
dc.identifier.urihttps://hdl.handle.net/20.500.12451/13586
dc.identifier.volume31
dc.identifier.wosWOS:001460461600009
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.institutionauthorMutlu, Hüseyin
dc.institutionauthorid0000-0002-1930-3293
dc.language.isoen
dc.publisherTurkish Association of Trauma and Emergency Surgery
dc.relation.ispartofUlusal Travma Ve Acil Cerrahi dergisi-Turkish Journal of Trauma & Emergency Surgery ·
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectAbdominal Trauma
dc.subjectEmergency Department
dc.subjectGlasgow Coma Scale
dc.subjectInjury Severity Score
dc.subjectMortality Predictors
dc.titlePredictive factors of mortality in patients with abdominal trauma
dc.typeArticle

Dosyalar

Orijinal paket
Listeleniyor 1 - 1 / 1
Küçük Resim
İsim:
turan-omer faruk-2025.pdf
Boyut:
386.05 KB
Biçim:
Adobe Portable Document Format
İndir
Lisans paketi
Listeleniyor 1 - 1 / 1
[ X ]
İsim:
license.txt
Boyut:
1.17 KB
Biçim:
Item-specific license agreed upon to submission
Açıklama:
İndir

Koleksiyon

Makale Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu