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Table 1 Patients classified by base deficit (classes I to IV): demographics, injury mechanism, severity of injury, and outcome

From: Renaissance of base deficit for the initial assessment of trauma patients: a base deficit-based classification for hypovolemic shock developed on data from 16,305 patients derived from the TraumaRegister DGU®

 

Class I

Class II

Class III

Class IV

 

BD ≤ 2.0

(no shock)

BD > 2.0 to 6.0

(mild)

BD > 6.0 to 10.0

(moderate)

BD > 10.0

(severe)

Demographics

    

   Total number (percentage)

7,583 (46.5)

5,831 (35.8)

1,999 (12.3)

892 (5.5)

   Male, number (percentage)

5,622 (74.7)

4,184 (72.3)

1,382 (69.6)

607 (68.4)

   Mean age (SD), years

46 (20.2)

43.8 (19.7)

44.4 (19.5)

45.8 (19.7)

   Blunt trauma, number (percentage)

7,088 (96)

5,436 (94.4)

1,869 (94.1)

816 (92.3)

Injury severity

    

   Mean ISS (SD), points

19.1 (11.9)

24.0 (13.3)

29.5 (16)

36.7 (17.6)

   Mean NISS (SD), points

24.2 (15)

29.9 (16.1)

35.5 (17.7)

42.9 (18.5)

   Mean RISC score (SD), points

10.3 (18.1)

14.4 (22.4)

24.4 (28.6)

53.3 (35.3)

   AIS head ≥ 3 points, number (percentage)

3,065 (40.4)

2,711 (46.5)

1,039 (52)

526 (59)

   AIS thorax ≥ 3 points, number (percentage)

2,826 (37.3)

2,811 (48.2)

1,131 (56.6)

577 (64.7)

   AIS abdomen ≥ 3 points, number (percentage)

819 (10.8)

939 (16.1)

520 (26.0)

296 (33.2)

   AIS pelvis/extremities ≥ 3 points, number (percentage)

1,956 (25.8)

2,071 (35.5)

846 (42.3)

419 (47.0)

Outcome

    

   Mortality, number (percentage)

564 (7.4)

721 (12.4)

478 (23.9)

459 (51.5)

   Mean hospital LOS (SD), days

18,3 (19.2)

23.6 (25.2)

24.7 (27)

20.1 (31.2)

   Mean ICU LOS (SD), days

7.8 (10.7)

11.3 (13.3)

13.9 (15.3)

12.8 (18.0)

   Mean ventilator days (SD)

4.8 (8.9)

7.7 (11.5)

9.9 (12.8)

10.1 (15.5)

   Multiple organ failure, number (percentage)

807 (12.2)

1,064 (20.2)

516 (29.4)

294 (43.3)

   Sepsis, number (percentage)

400 (6.0)

566 (10.5)

295 (16.3)

126 (18.0)

  1. Cohort consisted of 16,305 patients. P < 0.001 for all parameters. AIS, abbreviated injury scale; BD, base deficit; ICU, intensive care unit; ISS, injury severity score; LOS, length of stay; NISS, new injury severity score; RISC, Revised Injury Severity Classification; SD, standard deviation.