{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T13:31:23Z","timestamp":1787232683637,"version":"build-2736575974"},"reference-count":5,"publisher":"Scientific Scholar","content-domain":{"domain":["nmji.in"],"crossmark-restriction":true},"short-container-title":["NMJI"],"abstract":"\n Background<\/jats:title>\n The Berlin polytrauma definition includes injuries with an abbreviated injury scale (AIS) score \u22653 in \u22652 body regions combined with \u22651 physiological risk factor (PRF). We aimed to examine the influence of injury severity score (ISS)+PRFs on patient mortality, length of intensive care unit (ICU) stay, length of hospital stay, and cost of care. We also aimed to develop a mathematical model to predict the above outcomes using ISS and PRFs measured after admission.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n In this retrospective analysis of polytrauma patients between April 2022 to July 2023, logistic regression analysis was performed to examine the combined effects of ISS+PRFs on length of ICU and hospital stays and cost of care for survivors, and their effects on mortality for the entire study population.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n There was a statistically significant influence of ISS and PRFs on the probability of cost of care >\u20b90.63 million (6.3 lakhs) for survivors (\u20b90.63 million [6.3 lakhs] lakhs being the median cost). Survivors did not show any significant relation between ISS+PRFs and length of ICU\/hospital stay. Additionally, ISS and PRFs significantly influenced mortality for the entire study population. A mathematical model for predicting probabilities of \u2018mortality\u2019 and \u2018cost of care of >\u20b90.63 million (6.3 lakhs)\u2019 was made based on the analysis.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n The results of this model indicate the possibility of predicting the cost of care and probability of mortality using ISS and PRFs in polytrauma patients.<\/jats:p>\n <\/jats:sec>","DOI":"10.25259\/nmji_587_2024","type":"journal-article","created":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T11:26:03Z","timestamp":1784978763000},"page":"290-293","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Predicting clinical outcomes in polytrauma patients using components of the Berlin definition of polytrauma"],"prefix":"10.25259","volume":"39","author":[{"given":"ARUN","family":"JOY","sequence":"first","affiliation":[{"name":"Department of Plastic, Hand, Microsurgery and Burns, Ganga Medical Centre and Hospitals, Coimbatore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"NAYUEEM","family":"SIDDIQUE","sequence":"additional","affiliation":[{"name":"Department of Plastic, Hand, Microsurgery and Burns, Ganga Medical Centre and Hospitals, Coimbatore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"RAMESH","family":"VAIDYANATHAN","sequence":"additional","affiliation":[{"name":"Department of Plastic, Hand, Microsurgery and Burns, Ganga Medical Centre and Hospitals, Coimbatore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"RAM","family":"VARAHAM","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Intensive Care, Ganga Medical Centre and Hospitals, Coimbatore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"HARI","family":"VENKATRAMANI","sequence":"additional","affiliation":[{"name":"Department of Plastic, Hand, Microsurgery and Burns, Ganga Medical Centre and Hospitals, Coimbatore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S. RAJA","family":"SABAPATHY","sequence":"additional","affiliation":[{"name":"Department of Plastic, Hand, Microsurgery and Burns, Ganga Medical Centre and Hospitals, Coimbatore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2026,7,25]]},"reference":[{"key":"10.25259\/NMJI_587_2024\/ref-1","doi-asserted-by":"publisher","first-page":"780","DOI":"10.1097\/TA.0000000000000453","article-title":"The definition of polytrauma revisited: an international consensus process and proposal of the new 'Berlin definition'","volume":"77","author":"Pape","year":"2014","journal-title":"J Trauma Acute Care Surg"},{"key":"10.25259\/NMJI_587_2024\/ref-2","doi-asserted-by":"publisher","first-page":"694","DOI":"10.1097\/TA.0000000000003071","article-title":"Evaluation of the Berlin polytrauma definition: A Dutch nationwide observational study","volume":"90","author":"Driessen","year":"2021","journal-title":"J Trauma Acute Care Surg"},{"key":"10.25259\/NMJI_587_2024\/ref-8","article-title":"History of AAAM & AIS","author":"Association for the Advancement of Automotive Medicine","year":"2018"},{"key":"10.25259\/NMJI_587_2024\/ref-9","doi-asserted-by":"publisher","first-page":"73","DOI":"10.5005\/jp-journals-10071-23120","article-title":"Comparison of injury severity score, new injury severity score, revised trauma score and trauma and injury severity score for mortality prediction in elderly trauma patients","volume":"23","author":"Javali","year":"2019","journal-title":"Indian J Crit Care Med"},{"key":"10.25259\/NMJI_587_2024\/ref-10","doi-asserted-by":"publisher","first-page":"1356","DOI":"10.1097\/00005373-199011000-00008","article-title":"The Major Trauma Outcome Study: Establishing national norms for trauma care","volume":"30","author":"Champion","year":"1990","journal-title":"J Trauma"}],"container-title":["The National Medical Journal of India"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/nmji.in\/predicting-clinical-outcomes-in-polytrauma-patients-using-components-of-the-berlin-definition-of-polytrauma\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/nmji.in\/predicting-clinical-outcomes-in-polytrauma-patients-using-components-of-the-berlin-definition-of-polytrauma\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T13:15:32Z","timestamp":1787231732000},"score":1,"resource":{"primary":{"URL":"https:\/\/nmji.in\/predicting-clinical-outcomes-in-polytrauma-patients-using-components-of-the-berlin-definition-of-polytrauma\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,25]]},"references-count":5,"alternative-id":["10.25259\/NMJI_587_2024"],"URL":"https:\/\/doi.org\/10.25259\/nmji_587_2024","relation":{},"ISSN":["2583-150X","0970-258X"],"issn-type":[{"value":"2583-150X","type":"electronic"},{"value":"0970-258X","type":"print"}],"subject":[],"published":{"date-parts":[[2026,7,25]]},"article-number":"290"}}