Factors associated with disability after major trauma

Jwo Leun Lee, Ray Jade Chen, Wen Yi Chen, Yia Wun Liang, Tzu Chun Chen

Research output: Contribution to journalArticle

Abstract

Objectives: The ultimate goal of trauma care is to restore patients to the level of health they enjoyed before injury. This study analyzed the risk factors for physical dysfunction after trauma care. Methods: A Trauma Registry dataset for July 2005 to June 2008, based at a medical center in central Taiwan, was used to analyze the factors related to disability after major trauma by the use of logistic regression models. Results: The probability of disability was increased by several factors: each additional year of age by 0.002 (OR=1.01; CI: 1.00-1.02), being female by 0.085 (OR=1.53; CI: 1.11-2.12), having a Glasgow Coma Score less than 13 by 0.178 (OR=2.37; CI: 1.68-3.35), and an operation or complications during trauma care by 0.260 (OR= 3.97; CI: 2.80-5.61) and 0.227 (OR=2.86; CI: 1.97-4.15), respectively. Conclusions: Evidence from this study supports making appropriate decisions during the initial phase of care. An appropriate decision to activate the cross-specialty trauma team according to risk factors and reducing complications are the most important guidelines for the optimal care of major trauma patients. When properly applied, the trauma registry system is helpful for quality control and the development of quality improvement programs in hospitals.

Original languageEnglish
Pages (from-to)518-527
Number of pages10
JournalTaiwan Journal of Public Health
Volume29
Issue number6
Publication statusPublished - Dec 2010

Fingerprint

Wounds and Injuries
Registries
Logistic Models
Coma
Quality Improvement
Taiwan
Quality Control
Health Status
Statistical Factor Analysis
Decision Making
Guidelines

Keywords

  • Disability
  • Medical care quality
  • Risk factor
  • Trauma
  • Trauma registry

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Lee, J. L., Chen, R. J., Chen, W. Y., Liang, Y. W., & Chen, T. C. (2010). Factors associated with disability after major trauma. Taiwan Journal of Public Health, 29(6), 518-527.

Factors associated with disability after major trauma. / Lee, Jwo Leun; Chen, Ray Jade; Chen, Wen Yi; Liang, Yia Wun; Chen, Tzu Chun.

In: Taiwan Journal of Public Health, Vol. 29, No. 6, 12.2010, p. 518-527.

Research output: Contribution to journalArticle

Lee, JL, Chen, RJ, Chen, WY, Liang, YW & Chen, TC 2010, 'Factors associated with disability after major trauma', Taiwan Journal of Public Health, vol. 29, no. 6, pp. 518-527.
Lee JL, Chen RJ, Chen WY, Liang YW, Chen TC. Factors associated with disability after major trauma. Taiwan Journal of Public Health. 2010 Dec;29(6):518-527.
Lee, Jwo Leun ; Chen, Ray Jade ; Chen, Wen Yi ; Liang, Yia Wun ; Chen, Tzu Chun. / Factors associated with disability after major trauma. In: Taiwan Journal of Public Health. 2010 ; Vol. 29, No. 6. pp. 518-527.
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