Correlation between trauma and injury severity score and prognosis in patients with trauma

Chatimah, Chusnul; Pratiwi, Indah; Husna, Chairul Huda Al

doi:10.1016/j.jtumed.2021.06.005

Cited by 3 publications

(3 citation statements)

References 8 publications

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“…Kasus cedera menjadi permasalahan di negara berkembang, tercatat kematian yang diakibatkan cedera sebesar 8,4 juta atau sekitar 90% (Chatimah et al, 2021) dan kecelakaan serta cedera yang disebabkan pekerjaan menjadi masalah yang serius dalam kesehatan masyarakat saat ini (Jafari et al, 2019). Secara global kematian pria dua kali lipat dibandingkan wanita akibat cedera (Chatimah et al, 2021). Hal ini menjadikan cedera sebagai penyebab utama 5 juta kematian dan kecacatan di dunia setiap tahun (Ansari, 2021).…”

Section: Pendahuluanunclassified

“…Cedera panggul meningkatkan resiko penyakit psikologi seperti posttraumatic stress disorder (PTSD), depresi, dan penggunaan obat-obatan (McMinn & Thomas, 2020). Tercatat 25% pasien cedera panggul mengalami polytrauma (Chatimah et al, 2021). Polytrauma merupakan kondisi trauma yang terjadi pada dua atau lebih pada bagian tubuh dan terjadi kenaikan tingkat kematian dari 5% ke 46% akibat polytrauma pada penderita cedera panggul yang disertai pendarahan (Tosounidis et al, 2017) dan dapat menyebabkan 5-20% dari penderita cedera panggul mengalami ketidakstabilan hemodinamik (Fu et al, 2019).…”

Section: Pendahuluanunclassified

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Deteksi Tingkat Keparahan Cedera Panggul Menggunakan ANFIS

Khariri

Nurfadila

Novitasari

2022

Jurnal Penelitian Teknik Informatika, Manajemen Informatika dan

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Cedera panggul dan acetabular merupakan cedera yang jarang terjadi, terhitung sekitar 3% hingga 8% dari semua cedera. Meskipun angka kematian cedera panggul hanya terbatas pada 1-2%, apabila disertai dengan perdarahan intra-abdominal atau pada intracranial menimbulkan kematian tertinggi yaitu 50%. Kematian akibat cedera panggul terbilang tinggi ketika penanganan awal dan akurat tidak diperhatikan. Pada penelitian ini dilakukan bertujuan mendeteksi tingkat keparahan penderita cedera panggul menggunakan adaptive neuro-fuzzy inference system (ANFIS). Bertujuan membantu medis dalam memberikan penanganan sesuai dengan tingkat keparahan cedera panggul. Penelitian dengan metode ANFIS untuk mendeteksi keparahan cedera panggul mendapatkan nilai error dengan confusion matrix yang bernilai kecil yaitu 0.3362, sehingga menghasilkan akurasi sebesar 98,1%, presisi sebesar 97.7%, serta nilai dari sensitifitas dan F-skor sebesar 100% dan pada penelitian lain yang menggunakan ANN (Artificial Neural Network) menghasilkan keakuratan deteksi sebesar 87% dan area under the curve (AUC) sebesar 0.94.

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Section: Pendahuluanunclassified

Deteksi Tingkat Keparahan Cedera Panggul Menggunakan ANFIS

Khariri

Nurfadila

Novitasari

2022

Jurnal Penelitian Teknik Informatika, Manajemen Informatika dan

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“…Different scales have been used to predict mortality and survival rate in trauma patients according to clinical ndings (7)(8)(9)(10)(11)(12). Penetrating Abdominal Trauma Index (PATI) was proposed as a new method to quantify the risk of complications following this type of injuries by Moore et al in 1981 Moore (12).…”

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confidence: 99%

Mortality Related Factors in Penetrating Abdominal Trauma

Bernal

Latiff

Núñez-Rocha

et al. 2023

Preprint

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Background: Penetrating abdominal trauma is a frequent cause of death in Latinamerica with high rates of morbidity and mortality. A wide variety of therapeutic appraches have been proposed for the manegement of this pathology. In this study, we aimed to analyze the factors related to mortality and to describe outcomes of patients in penetrating abdominal trauma. Methods: Retrospective review of a prospectively collected database was performed. All patients with penetrating abdominal, or thoracoabdominal injury that required urgent laparotomy or laparoscopic exploration between 2018-2020 in our institution were included. Results: A total of 231 patients were included. Male patients were 92.21% and the median age was 28 IQR (22-37). 56.2% patients were ASA I, 19.9% ASA II, 4.7% ASA III, 7.3% ASA IV and 11.6% unknown. 77.5% patients had sstab wounds as penetrating abdmonal trauma etiology and 22.1% by gunshots. 76.2% of the wounds were made in the thoracoabdominal area, 73.8% were abdominal injuries and 24.2% were thoracic. 77.9% of patients presented a PATI score under 25 points. Comorbidities, gunshot wounds, ASA, need of blood product transfusion, number of pRBC needed, surgical approach and organ injury had a statistically significant association (p<0.05) with total mortality and mortalifty after 48 hours. There was also a statistically significant association between comorbidities (OR 407.405 [1.4-118534.05 95% IC]), ASA III (OR 0.004 [0-0.644 95% IC]), and blood product transfusion (OR 0 [0-0.877 95% IC]) with overall mortality. Conclusion: PATI scale appear to be a feasible tool to predict worst outcomes in abdominal penetrating trauma patients. Residents as first surgeons showed no evidence of a higher complications rate.

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