From: Rapid systemic surge of IL-33 after severe human trauma: a prospective observational study
NISS < 9 | NISS 9–24 | NISS > 24 | p-value* | |||
---|---|---|---|---|---|---|
IL-33neg | IL-33pos | |||||
n | 17 | 44 | 51 | 24 | IL-33neg vs pos | |
Age | Years | 35 (26–46) | 36 (28–49) | 44 (29–62) | 39.5 (22–61) | 0.2609 |
Male gender | n (%) | 12 (71) | 34 (77) | 38 (75) | 17 (71) | 0.6024 |
Time after injury of first sample | Hours | 0.9 (0.8–1.2) | 1.1 (0.6–1.4) | 1.7 (1.1–2.5) | 1.2 (0.8–1.6) | 0.0119 |
Penetrating trauma | n (%) | 2 (12) | 8 (18) | 8 (16) | 0 (0) | 0.049 |
Major head trauma† | n (%) | 0 (0) | 7 (16) | 36 (71) | 16 (67) | 0.7913 |
Isolated major head trauma‡ | n (%) | 0 (0) | 5 (11) | 12 (24) | 0 (0) | 0.0072 |
NISS | Score | 2 (1–5) | 14 (10–19) | 41 (34–57) | 49 (41–59) | 0.3390 |
ISS | Score | 2 (1–5) | 10 (9–14) | 29 (21–38) | 42 (29–50) | 0.0278 |
Number of ISS regions affected | Number | 1 (1–2) | 2 (2–3) | 3 (2–4) | 5 (4–5) | 0.0001 |
Injury to ISS region: | ||||||
Head or neck | n (%) | 7 (41) | 12 (27) | 36 (71) | 18 (75) | 0.7873 |
Face | n (%) | 1 (6) | 10 (23) | 22 (43) | 6 (25) | 0.2004 |
Chest | n (%) | 0 (0) | 19 (42) | 28 (55) | 21 (88) | 0.0084 |
Abdominal or pelvic contents | n (%) | 0 (0) | 7 (15) | 10 (20) | 21 (88) | < 0.0001 |
Extremities or pelvic girdle | n (%) | 3 (18) | 19 (43) | 26 (51) | 21 (88) | 0.0023 |
External | n (%) | 12 (71) | 34 (77) | 43 (84) | 23 (96) | 0.2566 |
aPTT§ | Sec | 32 (31–35) | 30 (29–33) | 32 (29–36) | 43 (38–75) | < 0.0001 |
aPTT > 35§ | n (%) | 4 (24) | 8 (19) | 14 (28) | 19 (83) | < 0.0001 |
INRll | Ratio | 1 (1.0–1.1) | 1.1 (1.0–1.1) | 1.1 (1.0–1.1) | 1.2 (1.1–1.4) | < 0.0001 |
INR > 1.2ll | n (%) | 0 (0) | 3 (7) | 2 (4.1) | 9 (39.1) | 0.0003 |
Coagulopathic (INR > 1.5 and/or aPTT > 60) | n (%) | 0 (0) | 1 (2.3) | 2 (4.1) | 7 (30.4) | 0.0037 |
Transfusion of PRBC | Units | 0 (0–0) | 0 (0–0) | 0 (0–0) | 1.5 (0–10) | 0.0004 |
Base excess** | mmol/L | − 2 (0–− 3.1) | − 1.9 (− 0.9–− 4.2) | − 3.4 (− 1.6–− 6.3) | − 6.2 (− 3.7–− 13.7) | 0.0306 |
CK maximum first 48 h | U/L | 201 (128–574) | 435 (217–1356) | 1254 (284–3606) | 1933 (483–5398) | 0.2286 |
LDH maximum first 48 h | U/L | 242 (202–281) | 369 (198–543) | 320 (273–415) | 599 (416–960) | 0.0009 |