Risk factors for sepsis in Korean trauma patients

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Purpose: Sepsis in severely injured patients is one of the leading causes of death in hospitals. The incidence of and risk factors for sepsis after trauma have been studied outside, but not within Korea. Therefore, this study investigated the incidence of sepsis and the independent risk factors for sepsis in moderately to severely injured patients in Korea. Methods: The electronic medical records of patients who visited the emergency department from January 2010 to December 2012 were reviewed retrospectively. Patients older than 18 years of age with an Injury Severity Score (ISS) greater than or equal to nine points were included. Results: A total of 183 patients met the study inclusion criteria. The median ISS was 14 (range 9–17) points and 15 (8 %) patients developed sepsis. The patients’ age [adjusted OR, 1.053; 95 % confidence intervals (CI), 1.015–1.094], ISS (adjusted OR, 1.114; 95 % CI, 1.046–1.187), and emergency surgery (adjusted OR, 3.727; 95 % CI, 1.051–13.221) were independent risk factors for post-traumatic sepsis. Conclusions: Among the risk factors identified in the literature, our research confirmed only the patients’ age and ISS as risk factors for sepsis after trauma, and, additionally, identified emergency surgery as a risk factor in Korean patients. Therefore, trauma patients who have any of the risk factors mentioned above have a high risk of post-traumatic sepsis, which requires certain precautionary clinical measures.

Original languageEnglish
Pages (from-to)453-458
Number of pages6
JournalEuropean Journal of Trauma and Emergency Surgery
Volume42
Issue number4
DOIs
Publication statusPublished - 2016 Aug 1

Fingerprint

Sepsis
Wounds and Injuries
Injury Severity Score
Confidence Intervals
Korea
Emergencies
Electronic Health Records
Hospital Emergency Service
Cause of Death
Cohort Studies
Incidence
Research

Keywords

  • Injury
  • Risk factor
  • Sepsis
  • Trauma

ASJC Scopus subject areas

  • Surgery
  • Emergency Medicine
  • Orthopedics and Sports Medicine
  • Critical Care and Intensive Care Medicine

Cite this

Risk factors for sepsis in Korean trauma patients. / Park, J. H.; Choi, Sung Hyuk; Yoon, Young-Hoon; Park, S. J.; Kim, Jung-Youn; Cho, Han Jin.

In: European Journal of Trauma and Emergency Surgery, Vol. 42, No. 4, 01.08.2016, p. 453-458.

Research output: Contribution to journalArticle

@article{371d28b0cfe045579a50e9aae777d35b,
title = "Risk factors for sepsis in Korean trauma patients",
abstract = "Purpose: Sepsis in severely injured patients is one of the leading causes of death in hospitals. The incidence of and risk factors for sepsis after trauma have been studied outside, but not within Korea. Therefore, this study investigated the incidence of sepsis and the independent risk factors for sepsis in moderately to severely injured patients in Korea. Methods: The electronic medical records of patients who visited the emergency department from January 2010 to December 2012 were reviewed retrospectively. Patients older than 18 years of age with an Injury Severity Score (ISS) greater than or equal to nine points were included. Results: A total of 183 patients met the study inclusion criteria. The median ISS was 14 (range 9–17) points and 15 (8 {\%}) patients developed sepsis. The patients’ age [adjusted OR, 1.053; 95 {\%} confidence intervals (CI), 1.015–1.094], ISS (adjusted OR, 1.114; 95 {\%} CI, 1.046–1.187), and emergency surgery (adjusted OR, 3.727; 95 {\%} CI, 1.051–13.221) were independent risk factors for post-traumatic sepsis. Conclusions: Among the risk factors identified in the literature, our research confirmed only the patients’ age and ISS as risk factors for sepsis after trauma, and, additionally, identified emergency surgery as a risk factor in Korean patients. Therefore, trauma patients who have any of the risk factors mentioned above have a high risk of post-traumatic sepsis, which requires certain precautionary clinical measures.",
keywords = "Injury, Risk factor, Sepsis, Trauma",
author = "Park, {J. H.} and Choi, {Sung Hyuk} and Young-Hoon Yoon and Park, {S. J.} and Jung-Youn Kim and Cho, {Han Jin}",
year = "2016",
month = "8",
day = "1",
doi = "10.1007/s00068-015-0552-6",
language = "English",
volume = "42",
pages = "453--458",
journal = "European Journal of Trauma and Emergency Surgery",
issn = "1863-9933",
publisher = "Urban und Vogel",
number = "4",

}

TY - JOUR

T1 - Risk factors for sepsis in Korean trauma patients

AU - Park, J. H.

AU - Choi, Sung Hyuk

AU - Yoon, Young-Hoon

AU - Park, S. J.

AU - Kim, Jung-Youn

AU - Cho, Han Jin

PY - 2016/8/1

Y1 - 2016/8/1

N2 - Purpose: Sepsis in severely injured patients is one of the leading causes of death in hospitals. The incidence of and risk factors for sepsis after trauma have been studied outside, but not within Korea. Therefore, this study investigated the incidence of sepsis and the independent risk factors for sepsis in moderately to severely injured patients in Korea. Methods: The electronic medical records of patients who visited the emergency department from January 2010 to December 2012 were reviewed retrospectively. Patients older than 18 years of age with an Injury Severity Score (ISS) greater than or equal to nine points were included. Results: A total of 183 patients met the study inclusion criteria. The median ISS was 14 (range 9–17) points and 15 (8 %) patients developed sepsis. The patients’ age [adjusted OR, 1.053; 95 % confidence intervals (CI), 1.015–1.094], ISS (adjusted OR, 1.114; 95 % CI, 1.046–1.187), and emergency surgery (adjusted OR, 3.727; 95 % CI, 1.051–13.221) were independent risk factors for post-traumatic sepsis. Conclusions: Among the risk factors identified in the literature, our research confirmed only the patients’ age and ISS as risk factors for sepsis after trauma, and, additionally, identified emergency surgery as a risk factor in Korean patients. Therefore, trauma patients who have any of the risk factors mentioned above have a high risk of post-traumatic sepsis, which requires certain precautionary clinical measures.

AB - Purpose: Sepsis in severely injured patients is one of the leading causes of death in hospitals. The incidence of and risk factors for sepsis after trauma have been studied outside, but not within Korea. Therefore, this study investigated the incidence of sepsis and the independent risk factors for sepsis in moderately to severely injured patients in Korea. Methods: The electronic medical records of patients who visited the emergency department from January 2010 to December 2012 were reviewed retrospectively. Patients older than 18 years of age with an Injury Severity Score (ISS) greater than or equal to nine points were included. Results: A total of 183 patients met the study inclusion criteria. The median ISS was 14 (range 9–17) points and 15 (8 %) patients developed sepsis. The patients’ age [adjusted OR, 1.053; 95 % confidence intervals (CI), 1.015–1.094], ISS (adjusted OR, 1.114; 95 % CI, 1.046–1.187), and emergency surgery (adjusted OR, 3.727; 95 % CI, 1.051–13.221) were independent risk factors for post-traumatic sepsis. Conclusions: Among the risk factors identified in the literature, our research confirmed only the patients’ age and ISS as risk factors for sepsis after trauma, and, additionally, identified emergency surgery as a risk factor in Korean patients. Therefore, trauma patients who have any of the risk factors mentioned above have a high risk of post-traumatic sepsis, which requires certain precautionary clinical measures.

KW - Injury

KW - Risk factor

KW - Sepsis

KW - Trauma

UR - http://www.scopus.com/inward/record.url?scp=84937686895&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84937686895&partnerID=8YFLogxK

U2 - 10.1007/s00068-015-0552-6

DO - 10.1007/s00068-015-0552-6

M3 - Article

C2 - 26201390

AN - SCOPUS:84937686895

VL - 42

SP - 453

EP - 458

JO - European Journal of Trauma and Emergency Surgery

JF - European Journal of Trauma and Emergency Surgery

SN - 1863-9933

IS - 4

ER -