The risk of death for Jehovah's Witnesses after major trauma

J. Esteban Varela, Orlando W Gomez-Marin, Lora E. Fleming, Stephen M. Cohn

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

Background: Trauma surgeons are faced with life-threatening blood loss in patients such as Jehovah's Witnesses. We assessed and compared the risks of death after major trauma for Jehovah's Witnesses and other religious groups. Methods: A retrospective cohort study was conducted between August 1992 and September 1999 in a Level I academic trauma center. Statistical methods included Tukey's one-way analysis of variance, X2 analysis, and bivariate and multivariate logistic regression analyses. Results: The cohort consisted of 556 patients: 82 Jehovah's Witnesses (14.7%), 52 Baptists (9.4%), 101 Catholics (18.2%), and 321 patients belonging to other religious groups (57.7%). Mean Injury Severity Scores for 433 patients were 10.3 ± 9, 8.9 ± 10, 10.3 ± 11, and 11.3 ± 14, respectively. There were no significant differences in mean Injury Severity Scores between religious groups, and no statistically significant associations between religion and Injury Severity Scores were identified. Significant predictors of mortality were age, systolic blood pressure at admission, Glasgow Coma Scale score, and type of trauma. Jehovah's Witnesses were 6% more likely to die after major trauma than Baptists, 20% more likely than Catholics, and as likely as patients from any other religious groups. Conclusion: After controlling for age, race, systolic blood pressure, Glasgow Coma Scale score, and type of trauma, Jehovah's Witnesses have a nonsignificant increased risk of death after major trauma compared with other religious groups.

Original languageEnglish
Pages (from-to)967-972
Number of pages6
JournalJournal of Trauma - Injury, Infection and Critical Care
Volume54
Issue number5
DOIs
StatePublished - May 1 2003

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Jehovah's Witnesses
Injury Severity Score
Wounds and Injuries
Blood Pressure
Glasgow Coma Scale
Analysis of Variance
Trauma Centers
Religion
Cohort Studies
Retrospective Studies
Logistic Models
Regression Analysis
Mortality

Keywords

  • Jehovah's Witnesses
  • Major trauma
  • Risk of death

ASJC Scopus subject areas

  • Surgery

Cite this

The risk of death for Jehovah's Witnesses after major trauma. / Varela, J. Esteban; Gomez-Marin, Orlando W; Fleming, Lora E.; Cohn, Stephen M.

In: Journal of Trauma - Injury, Infection and Critical Care, Vol. 54, No. 5, 01.05.2003, p. 967-972.

Research output: Contribution to journalArticle

Varela, J. Esteban ; Gomez-Marin, Orlando W ; Fleming, Lora E. ; Cohn, Stephen M. / The risk of death for Jehovah's Witnesses after major trauma. In: Journal of Trauma - Injury, Infection and Critical Care. 2003 ; Vol. 54, No. 5. pp. 967-972.
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