Factors influencing prognosis of multiple organ dysfunction syndrome after trauma
SHAO Zhi-jiang
SHEN Jian-wei
JIA Hui-juan
Abstract：Objective To analyze the factors influencing the prognosis of multiple organ dysfunction syndrome (MODS) after trauma.Methods Sixty-six patients who appeared MODS after trauma were divided into two groups: the survival group (47 cases) and death group (19 cases).At first, we studied the various clinical indicators with univariate regression analysis between the two groups .Then, the clinical indicators with statistical significant differences were led to the multivariate logistic regression analysis .Results Univariate analysis revealed that the factors impacting the prognosis were age (t=5.490, P=0.019), temperature (t =3.781, P=0.049), blood urea nitrogen level (t=7.537, P=0.006), serum albumin level (t=6.089, P=0.014), central venous pressure (t=6.033, P=0.014), Glasgow (μ=1309.500, P=0.000), and whether there was lethal triad of death (χ2 =18.510, P=0.001),whether the MODS organs were 3 or higher (χ2 =5.533, P=0.019),whether they were complicated with pulmonary infection (χ2 =5.676,P=0.017).Logistic regression analysis showed that the serum albumin level (β1 =-0.766, P=0.023), central venous pressure (β2 =-4.179, P=0.016), age (β3 =0.977, P=0.043)and blood urea nitrogen (β4 =4.474, P=0.027) were the independent factors .Conclusion The factors influencing of the prognosis of MODS are serum albumin level , central venous pressure , age and blood urea nitrogen level .
Keywords：multiple organ dysfunction syndrometraumamortality
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 18-20 )