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The incidence of organ dysfunction and failure in trauma patients
Critical Care volume 9, Article number: P125 (2005)
Trauma patients have a high mortality and more often develop organ failure with worse outcome.
To study the incidence of organ dysfunction and failure, and the impact on mortality in patients who were admitted to an ICU with multiple trauma.
Materials and methods
We studied patients consecutively admitted to a trauma ICU from 1 January 2001 to 31 December 2003. The Sequential Organ Failure Assessment score at admission was measured; we considered points 1 and 2 of the score as dysfunction and points 3 and 4 as failure.
A total of 802 patients were studied; the mortality of the general population without organ dysfunction was 39.65%. The incidence of organ dysfunction and failure, with the correspondent mortality, is illustrated in Table 1.
The presence of organ dysfunction worsened the outcome of patients with multiple trauma; the respiratory dysfunction is more prevalent than others but with a lower impact on mortality, followed by coagulation and liver dysfunction. The presence of coagulation, respiratory failure and cardiovascular failure is associated with higher mortality than liver or renal failure.
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Oliveira, M., Réa-Neto, A. The incidence of organ dysfunction and failure in trauma patients. Crit Care 9 (Suppl 2), P125 (2005). https://doi.org/10.1186/cc3669