Table 2 Multivariate model of pediatric severe TBI patient mortality *
aOR (95% CI) | P value | |
|---|---|---|
Age | 0.936 (0.907–0.966) | <.0001 |
Length of hospital stay (days) | 0.821 (0.762–0.883) | <.0001 |
GCS score | 0.633 (0.600–0.668) | <.0001 |
Trauma center | ||
ATC–AQ | 1.0 (reference) | |
ATC | 0.896 (0.629–1.277) | 0.5446 |
Sex | ||
Female | 1.0 (reference) | |
Male | 1.249 (0.898–1.738) | 0.1857 |
Race/Ethnicity | ||
White | 1.0 (reference) | |
Black | 1.562 (0.967–2.524) | 0.0683 |
Hispanic | 1.284 (0.876–1.881) | 0.1998 |
Other | 1.914 (0.986–3.714) | 0.0550 |
Insurance | ||
Commercial and other | 1.0 (reference) | |
Self Pay | 2.102 (1.159–3.813) | 0.0145 |
Medicaid | 1.241 (0.824–1.870) | 0.3006 |
Trauma center level | ||
Level I | 1.0 (reference) | |
Level II | 1.155 (0.797–1.675) | 0.4471 |
Head AIS | ||
3 | 1.0 (reference) | |
4 | 4.113 (2.406–7.033) | <.0001 |
5 | 32.231 (17.580–59.094) | <.0001 |
6 | 22.641 (2.521–203.370) | 0.0053 |
Mechanism of injury | ||
Falls | 0.333 (0.173–0.644) | 0.0011 |
Firearms | 7.780 (3.493–17.328) | <.0001 |
Motor vehicles | 1.251 (0.807–1.940) | 0.3175 |
Struck by/against | 0.399 (0.194–0.821) | 0.0125 |
Other | 1.0 (reference) | |
TBI type | ||
SAH, SDH, EDH | 0.797 (0.525–1.212) | 0.2891 |
Intracranial Hemm (other and unspecified) | 1.024 (0.446–2.352) | 0.9555 |
Cerebral Laceration and Contusion | 0.929 (0.541–1.595) | 0.7881 |
Other Intracranial Injury | 1.675 (0.906–3.098) | 0.1001 |
No Mention of Intracranial Injury | 1.175 (0.689–2.001) | 0.5538 |
Other | 1.0 (reference) | |
Presence of severe TBI polytrauma | ||
TBI only | 1.0 (reference) | |
TBI + non–severe injury | 0.681 (0.428–1.083) | 0.1043 |
TBI + Severe injury | 1.936 (1.175–3.188) | 0.0095 |