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Contemporary Patterns of Multiple Organ Dysfunction in Trauma.


ABSTRACT: Multiple organ dysfunction syndrome (MODS) is associated with poor outcomes for trauma patients. Different forms of MODS may exist and have different consequences. The ability to distinguish them clinically may have implications for prognosis and treatment. We wished to study whether prolonged MODS (PRMODS) could be observed as a distinct clinical entity to early resolving MODS (ERMODS) in critically injured patients.Adult major trauma patients recruited to a prospective observational study at a single major trauma center were eligible for inclusion. MODS was defined as Sequential Organ Failure Assessment (SOFA) score >5; and PRMODS as lasting >7 days. Time to recovery (TTR) was calculated as the number of days before the SOFA fell below the MODS threshold (?5).Five hundred ninety-five patients were enrolled of whom 285 developed ERMODS (48%) and 184 (31%) PRMODS. Organ dysfunction was more severe and protracted in PRMODS, especially in patients without brain injury (mean SOFA 11 vs. 6, Day 2, P?

SUBMITTER: Shepherd JM 

PROVIDER: S-EPMC5398901 | biostudies-literature | 2017 Apr

REPOSITORIES: biostudies-literature

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Contemporary Patterns of Multiple Organ Dysfunction in Trauma.

Shepherd Joanna M JM   Cole Elaine E   Brohi Karim K  

Shock (Augusta, Ga.) 20170401 4


<h4>Background</h4>Multiple organ dysfunction syndrome (MODS) is associated with poor outcomes for trauma patients. Different forms of MODS may exist and have different consequences. The ability to distinguish them clinically may have implications for prognosis and treatment. We wished to study whether prolonged MODS (PRMODS) could be observed as a distinct clinical entity to early resolving MODS (ERMODS) in critically injured patients.<h4>Methods</h4>Adult major trauma patients recruited to a p  ...[more]

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