From: Risk prediction score for death of traumatised and injured children
Factors | Group | Â | Â | Â | |
---|---|---|---|---|---|
Death n (%) | Survival n (%) | OR | 95% CI | P-value | |
Demographics domain | Â | Â | Â | Â | Â |
Age, years | |||||
 0–5 | 113 (1.2) | 9,342 (98.8) | 1.8 | 1.4–2.4 | <0.001 |
 6–12 | 131 (1.2) | 10,478 (98.8) | 3.01 | 2.1–4.3 |  |
 13–19 | 496 (2.1) | 23,001 (97.9) |  |  | |
Sex | |||||
 Female | 175 (1.4) | 12,503 (98.6) | 1 |  | 0.001 |
 Male | 565 (1.8) | 30,318 (98.2) | 1.3 | 1.1–1.6 |  |
Weight, kilograms | |||||
 ≤25 | 147 (1.2) | 12,335 (98.8) | 1 |  | <0.001 |
 26– 45 | 134 (1.3) | 9,909 (98.7) | 1.1 | 0.9–1.4 |  |
 46–55 | 227 (2.1) | 10,504 (97.8) | 1.8 | 1.5–2.2 |  |
 >55 | 232 (2.3) | 10,073 (97.8) | 1.9 | 1.6–2.4 | |
Pre-hospital domain | Â | Â | Â | Â | Â |
Duration of transport, hours | Â | Â | Â | Â | Â |
 ≤ 1 | 142 (1.7) | 8,312 (98.3) | 1.2 | 0.9–1.5 |  |
 1–2 | 299 (2.0) | 14,443 (98.0) | 1.5 | 1.2–1.8 |  |
 2–3 | 138 (1.6) | 8,555 (98.4) | 1.2 | 0.9–1.5 |  |
 >3 | 161 (1.4) | 11,511 (98.6) | 1 |  | 0.001 |
Airway management domain | Â | Â | Â | Â | Â |
 No intervention | 224 (0.6) 81 | 38,704 (99.4) | 1 |  | <0.001 |
 Adjuncts | (3.9) | 1,975 (96.1) | 7.1 | 5.5–9.2 |  |
 Intubation | 435 (16.9) | 2,141 (83.1) | 35.1 | 29.7–41.5 | |
Mechanisms and injury regions domain | Â | Â | Â | Â | Â |
Velocity-, Gravity-related mechanism | Â | Â | Â | Â | Â |
 Velocity | 41 (2.6) | 1,541 (97.4) | 3.0 | 2.0–4.3 | <0.001 |
 Gravity | 97 (1.2) | 8,160 (98.8) | 1.3 | 1.0–1.8 |  |
 Both | 510 (2.2) | 22,844 (97.8) | 2.5 | 2.0–3.1 | |
 None | 92 (0.9) | 10,276 (99.1) | 1 |  | |
Mechanism of injury | Â | Â | Â | Â | Â |
 Penetrating | 69 (1.2) | 5,871 (98.8) | 1 |  | <0.001 |
 Blunt | 536 (1.7) | 30,946 (98.3) | 1.5 | 1.1–1.9 |  |
 Both | 56 (2.9) | 1,887 (97.1) | 2.5 | 1.8–3.6 | |
 Non-classified | 79 (1.9) | 4,117 (98.1) | 1.6 | 1.2–2.3 | |
No. of injured sites | Â | Â | Â | Â | |
 0 | 82 (2.2) | 3,636 (97.8) | 1 |  | <0.001 |
 1 | 168 (0.7) | 25,519 (99.4) | 0.3 | 0.2–0.4 |  |
 2 | 159 (1.8) | 8,579 (98.2) | 0.8 | 0.6–1.1 | |
 ≥3 | 331 (6.1) | 5,087 (93.9) | 2.9 | 2.3–3.7 | |
Trauma body regions | Â | Â | Â | Â | Â |
Brain, head,neck | Â | Â | Â | Â | Â |
 Yes | 527 (4.8) | 10,355 (95.2) | 7.8 | 6.6–9.1 | <0.001 |
 No | 213 (0.6) | 32,466 (99.4) | 1 |  |  |
Face | Â | Â | Â | Â | Â |
 Yes | 43 (1.5) | 2,903 (98.5) | 0.8 | 0.6–1.2 | 0.298* |
 No | 697 (1.7) | 39,918 (98.3) | 1 |  |  |
Thorax | Â | Â | Â | Â | Â |
 Yes | 124 (13.1) | 821 (86.9) | 10.3 | 8.4–12.6 | <0.001 |
 No | 616 (1.4) | 42,000 (98.5) | 1 |  |  |
Abdomen, pelvis | Â | Â | Â | Â | Â |
 Yes | 143 (7.6) | 1,743 (92.4) | 5.6 | 4.7–6.8 | <0.001 |
 No | 597 (1.4) | 41,074 (98.6) | 1 |  |  |
Musculoskeletal | Â | Â | Â | Â | |
 Yes | 161 (0.9) | 18,045 (99.1) | 0.4 | 0.3–0.5 | <0.001 |
 No | 579 (2.3) | 24,776 (97.7) | 1 |  |  |
External soft tissues | Â | Â | Â | Â | Â |
 Yes | 171 (1.0) | 16,196 (99.0) | 0.5 | 0.4–0.6 | < 0.001 |
 No | 569 (2.1) | 39,918 (97.9) | 1 |  |  |
Wound types | Â | Â | Â | Â | |
 Large, open (major) | 449 (2.7) | 16,195 (97.3) | 2.0 | 1.5–2.7 | <0.001 |
 Small, closed (minor) | 247 (1.0) | 23,466 (99.0) | 0.8 | 0.5–1.0 |  |
 None | 44 (1.4) | 3,160 (98.6) | 1 |  | |
Fracture types | Â | Â | Â | Â | Â |
 Open, multiple | 115 (4.0) | 2,756 (96.0) | 2.5 | 2.0–3.0 | <0.001 |
 Single | 198 (1.3) | 14,962 (98.7) | 0.8 | 0.7–0.9 |  |
 None | 427 (1.7) | 25,103 (98.3) | 1 |  |  |
Severity domain | Â | Â | Â | Â | |
Total GCS In-Hospital | Â | Â | Â | Â | Â |
 <9 | 389 (18.6) 351 | 1,700 (81.4) | 26.8 | 22.9–31.4 | <0.001 |
 ≥9 | (0.9) | 41,121 (99.1) | 1 |  | |
Vital sign domain | Â | Â | Â | Â | Â |
PR | Â | Â | Â | Â | Â |
 Bradycardia | 66 (15.1) | 370 (84.9) | 16.4 | 12.4–21.7 | <0.001 |
 Tachycardia | 291 (3.8) | 7,313 (96.2) | 3.7 | 3.1–4.3 |  |
 Normal | 383 (1.1) | 35,138 (98.9) | 1 |  | |
SBP | Â | Â | Â | Â | |
 Abnormal | 164 (7.7) | 1,960 (92.3) | 5.9 | 5.0–7.1 | <0.001 |
 Normal | 576 (1.4) | 40,861 (98.6) | 1 |  |  |
RR | Â | Â | Â | Â | Â |
 Tachypnea | 611 (2.1) | 28,986 (97.9) | 2.3 | 1.9–2.7 | <0.001 |
 Normal | 129 (0.9) | 13,835 (99.1) | 1 |  |  |
Consciousness (AVPU) | Â | Â | Â | Â | Â |
 Awake | 313 (0.8) | 39,722 (99.2) | 1 |  | <0.001 |
 Verbal | 33 (2.8) | 1,161 (97.2) | 3.6 | 2.5–5.2 |  |
 Pain stimulus | 30 (7.4) | 377 (92.6) | 10.1 | 6.8–14.9 | |
 Unresponsiveness | 364 (19.0) | 1,561 (81.1) | 29.6 | 25.0–35.0 |