Identification of the Clinical Predictors of Mortality in Blunt Polytrauma Patients Attending the Emergency Department in Suez Canal University Hospital

Abstract

Background: Trauma is a worldwide problem. It is the disease of young and the leading cause of death in the first four decades of life. Several trauma scores have been devised to predict injury severity and risk of mortality. Trauma score systems try to translate the severity of injury into a number. Regardless their accuracy, they are complex to calculate and it is clear that their use in clinical decision making is limited. Aim: The aim of this study was to identify the clinical predicting factors of mortality in blunt poly-trauma patients. Patients and methods: This was a descriptive study conducted on 106 adult blunt poly-traumatized patients from July 2013 to December 2013 attending the Emergency Department at Suez Canal University Hospital. Results: In this study, 78.3% of 106 patients were males. Mortality rate was 18.9%, motor car accidents were responsible for 87.7% of the total cases. The most common sites to be affected were the extremities and pelvis but the head was the only injury related to mortality shock index (SI) was the most sensitive predictor 100% and the most specific one was ISS 100%. Heart rate (HR), Glasgow Coma Score (GCS), and systolic blood pressure (SBP) were good predictors to mortality. Conclusion: We conclude that SI, modified shock index (MSI), injury severity score (ISS), revised trauma score (RTS), and vital signs with presence of head trauma and the need for intubation or ICU admission are predictors of mortality in poly-traumatized patients.

Evaluation of the role of repeated inferior vena cava sonography in estimating first 24 h fluid requirement in resuscitation of major blunt trauma patients in emergency department Suez Canal University Hospital

“…In line with our findings, Abd EL-Atiff et al [ 25 ] discovered that blunt trauma most frequently affected the extremities and pelvis (72%–25). In 2019, Kim et al looked at 628 trauma patients in total, separating them into groups: survivors and non-survivors.…”