Factors Influencing Outcome after Multiple Trauma

  • I. Ledingham
Conference paper
Part of the Anaesthesiologie und Intensivmedizin / Anaesthesiology and Intensive Care Medicine book series (A+I, volume 167)


The three main factors influencing outcome after multiple trauma are the severity of the initial injury, the response of the patient to his injury and finally, the effect of management.


Injury Severity Score Multiple Trauma Multiple Trauma Patient Intensive Therapy Unit Patient Related Risk Factor 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    Committee on Medical Aspects of Automative Safety (1971) Rating the severity of tissue damage: The abbreviated scale. J Am Med Ass 215:277–280CrossRefGoogle Scholar
  2. 2.
    American College of Surgeons (1980) Hospital trauma index. Bull Am Coll Surg 32–36Google Scholar
  3. 3.
    Baker SP, O’Neill B, Haddow W, Long WB (1974) The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. Journal of Trauma 14:187–196PubMedCrossRefGoogle Scholar
  4. 4.
    Bull JP (1982) Injury severity scoring systems. Injury 14:2–5PubMedCrossRefGoogle Scholar
  5. 5.
    Gerritsen SM, van Loenhaut T, Gimbrere JSF (1982) Prognostic signs and mortality in multiple patients. Injury 14:89–92PubMedCrossRefGoogle Scholar
  6. 6.
    Dove DB, Stahl WM, del Guericio LRM (1980) A five year review of deaths following urban trauma. Journal of Trauma 20:760–766PubMedCrossRefGoogle Scholar
  7. 7.
    Goris RJA, Gimbrere JSF, van Niekerk JLM et al (1982) Improved survival of multiple injured patients by early internal fixation and prophylactic mechanical ventilation. Injury 14:39–43PubMedCrossRefGoogle Scholar
  8. 8.
    Goris RJA (1983) The injury severity score. World J Surg 7:12–18PubMedCrossRefGoogle Scholar
  9. 9.
    Champion HR, Sacco WJ, Carnazzo AJ, Copes W, Fonty WJ (1981) The trauma score. Crit Care Med 9:672–676PubMedCrossRefGoogle Scholar
  10. 10.
    Champion HR, Sacco WJ, Hunt TK (1983) Trauma severity scoring to predict mortality. World J Surg 7:4–12PubMedCrossRefGoogle Scholar
  11. 11.
    Preziosi P, Vacca M (1982) Etomidate and corticotrophic axis. Archives Internationales de Pharmaco-dynamie et de Therapie 256:308–310Google Scholar
  12. 12.
    Fellows IW, Baston MD, Byrne AJ, Allison SP (1983) Adrenocortical suppression in multiple injured patients; a complication of etomidate treatment. Br Med J 287:1835–1837CrossRefGoogle Scholar
  13. 13.
    Watt I, Fraser R, Kenyon C, Lever AF, Beastall C, Ledingham IMcA (1984) Effect of etomidate on adrenocortical function. Br J Surg (in press)Google Scholar
  14. 14.
    Walton B (1982) Immunological aspects of anaesthetic practice. In: Scurr C, Feldman S (eds) Scientific foundations of anaesthesia, 3rd edition. Heinemann, London, p 353–371Google Scholar
  15. 15.
    Merriman HM (1981) The techniques used to sedate ventilated patients. A survey of methods used in 34 ICUs in Great Britain. Int Care Med 7 :217–224CrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1984

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  • I. Ledingham

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