1 128例交通性颅脑损伤临床特征及死亡因素分析OA

Objective To explore the factors influencing the clinical prognosis of patients with traffic-related traumatic brain injury(TBI)and provide evidence for the clinical management of patients with traffic-related TBI.Methods The clinical data of 1 128 patients with traffic-related TBI from 28 medical institutions in Xinjiang in 2021 were analyzed retrospectively.Stepwise regression(forward method)was used to analyze the effects of various factors,including age,gender,and cause of trauma,on treatment outcomes(survival or death).Results The results of univariate analysis showed that the level of Glasgow coma scale(GCS)score,midline shift or not,emergency tracheal intubation or not,place of first admission,and surgery or not were correlated with the death of patients(P<0.05).Multivariate Logistic regression analysis showed that low GCS score(OR=7.811,95%CI=3.001-20.334),midline deviation(OR=3.905,95%CI=1.764-8.646),emergency endotracheal intubation(OR=7.314,95%CI=2.680-19.965),monitoring treatment required upon admission(OR=4.190,95%CI=1.412-12.429)were the risk factors of death,while surgical treatment(OR=0.242,95%CI=0.097-0.605)was the protective factor of death.Conclusions Patients with traffic-related TBI in Xinjiang have certain regional-specific clinical characteristics.Low GCS score,midline shift,endotracheal intubation,and monitoring treatment required upon admission are significant factors contributing to patient mortality.