Factors Predicting Intensive Care Unit Admission in Trauma Patients: A Multicenter Study Based on the National Trauma Registry of Iran

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Factors Predicting Intensive Care Unit Admission in Trauma Patients: A Multicenter Study Based on the National Trauma Registry of Iran Publisher

Golbakhsh M ; Daneshi SA ; Azimzadeh T ; Sharafi A ; Sheikhvatan M ; Shafiei SH

Source: Journal of Orthopedic and Spine Trauma Published:2026

Abstract

Background: Caring for trauma patients is a paramount international concern. Delays in diagnosing patients in need of intensive care have unredeemable consequences. Identifying predicting factors of intensive care unit (ICU) admission in trauma patients is not without merit regarding this matter. This study aimed to investigate the underlying factors associated with ICU admission in trauma patients. Methods: A retrospective study was designed based on data from the National Trauma Registry of Iran (NTRI) from 2016 to 2021. ICU admission was considered the primary endpoint. Relationships between demographic variables, injury site, injury mechanism, vital signs, and trauma scores with the outcome were evaluated by univariate analyses. ICU risk factors and their specific odds ratio (OR) were determined by multivariate analysis. Results: Following univariate and multivariate analyses, age > 55 years, widowhood, injuries due to road accidents, falling from a height, penetrating objects, and gunshot, underlying cardiovascular disease (CVD), injury to head, thorax, abdomen, spine, and lower extremities, hypotension, hypertension (HTN), tachycardia, bradycardia, hyperpnea, low oxygen saturation, high body temperature, Glasgow Coma Scale (GCS) ≤8, and Injury Severity Score (ISS) > 15 were introduced as independent risk factors of ICU admission. Nonetheless, transport to the hospital (personal car) and upper extremity injury reduced the outcome incidence. Conclusion: Numerous contextual variables were significantly associated with ICU admission, each with its own matter. When entering the emergency room, paying attention to these factors can help diagnose people in need of ICU care sooner. © 2026 Tehran University of Medical Sciences. Published by Tehran University of Medical Sciences.

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Style	Citing Format
MLA	Golbakhsh M, et al.. "Factors Predicting Intensive Care Unit Admission in Trauma Patients: A Multicenter Study Based on the National Trauma Registry of Iran." Journal of Orthopedic and Spine Trauma, vol. 12, no. 1, 2026, pp. 43-49.
APA	Golbakhsh M, Daneshi SA, Azimzadeh T, Sharafi A, Sheikhvatan M, Shafiei SH (2026). Factors Predicting Intensive Care Unit Admission in Trauma Patients: A Multicenter Study Based on the National Trauma Registry of Iran. Journal of Orthopedic and Spine Trauma, 12(1), 43-49.
Chicago	Golbakhsh M, Daneshi SA, Azimzadeh T, Sharafi A, Sheikhvatan M, Shafiei SH. "Factors Predicting Intensive Care Unit Admission in Trauma Patients: A Multicenter Study Based on the National Trauma Registry of Iran." Journal of Orthopedic and Spine Trauma 12, no. 1 (2026): 43-49.
Harvard	Golbakhsh M et al. (2026) 'Factors Predicting Intensive Care Unit Admission in Trauma Patients: A Multicenter Study Based on the National Trauma Registry of Iran', Journal of Orthopedic and Spine Trauma, 12(1), pp. 43-49.
Vancouver	Golbakhsh M, Daneshi SA, Azimzadeh T, Sharafi A, Sheikhvatan M, Shafiei SH. Factors Predicting Intensive Care Unit Admission in Trauma Patients: A Multicenter Study Based on the National Trauma Registry of Iran. Journal of Orthopedic and Spine Trauma. 2026;12(1):43-49.
BibTex	@article{ author = {Golbakhsh M and Daneshi SA and Azimzadeh T and Sharafi A and Sheikhvatan M and Shafiei SH}, title = {Factors Predicting Intensive Care Unit Admission in Trauma Patients: A Multicenter Study Based on the National Trauma Registry of Iran}, journal = {Journal of Orthopedic and Spine Trauma}, volume = {12}, number = {1}, pages = {43-49}, year = {2026} }
RIS	TY - JOUR AU - Golbakhsh M AU - Daneshi SA AU - Azimzadeh T AU - Sharafi A AU - Sheikhvatan M AU - Shafiei SH TI - Factors Predicting Intensive Care Unit Admission in Trauma Patients: A Multicenter Study Based on the National Trauma Registry of Iran JO - Journal of Orthopedic and Spine Trauma VL - 12 IS - 1 SP - 43 EP - 49 PY - 2026 ER -

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