• Haridimos Markogiannakis, Elias Sanidas, Evangelos Messaris, Dimitrios Koutentakis, Kalliopi Alpantaki, Alexandros Kafetzakis, and Dimitrios Tsiftsis.
• Department of Surgical Oncology, Herakleion University Hospital, Herakleion Medical School, University of Crete, Herakleion, Crete, Greece. markogiannakis@easy.com
• Ulus Travma Acil Cer. 2008 Apr 1;14(2):125-31.

ObjectivesIdentification and assessment of predictive factors of in-hospital mortality of trauma patients injured in vehicle accidents.MethodsWe reviewed the Trauma Registry data of Herakleion University Hospital, a level I trauma center in Crete, Greece. All 730 consecutive, adult motor-vehicle trauma patients admitted to our hospital from 1997 to 2000 were included in the study. Variables included in the analysis were: sex, age, mechanism of injury, injuries per anatomic region, initial vital signs, Glasgow Coma Scale (GCS), Injury Severity Score (ISS), and the final outcome. In order to better describe continuous variables, two categories were created: age > or = 60 and <60; ISS > or = 18 and <18.ResultsMortality rate was 4.8% (n=35). Multivariate survival analysis showed that age greater than or equal to 60 years (p=0.0002), ISS greater than or equal to 18 (p=0.003), being a pedestrian (p=0.007), craniocerebral injuries (p=0.01), thoracic (p=0.01), and abdominal injuries (p=0.01) are independent predictors of the in-hospital mortality of the patients.ConclusionTrauma patients after vehicle accidents aged > or = 60, pedestrians, those with an ISS > or = 18 and craniocerebral, thoracic or abdominal injuries are at higher risk of an in-hospital fatal outcome.

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