Study of the efficacy of trauma and injury severity score to predict survival in patients of polytrauma

Singh, Anant Kumar; Chejara, Rajkumar; Sharma, Ashok; Tolat, Aditya

doi:10.18203/2349-2902.isj20212792

Cited by 3 publications

(2 citation statements)

References 7 publications

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“…Regarding mortality, 16 patients (32%) died. This result is in contrast to Singh, A et al who found mortality only 16%cases [9]. Also, Attia, et al found mortality in 25% [7].…”

Section: Discussionmentioning

confidence: 60%

Evaluation of Revised Trauma Score in Polytrauma

Elshamhoot

Ibrahim²,

Metwally³

et al. 2022

JAMMR

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Objectives: This study aims to improve the management processes of polytrauma patients by evaluating the Revised Trauma Score (RTS) in predicting trauma outcomes by studying the incidence of mortality, intensive care unit (ICU) need and duration of hospital stay. Methods: Our study had carried out fifty patients with polytrauma examined at Emergency and Traumatology Department, Tanta University Hospital in the period between beginning of December 2020 to beginning of December 2021. Including all polytraumatized patients with age ≥18 years and excluding patients who arrived dead or who had significant co-morbidity. Results: The mean RTS value for survival was 7.05 (min-max=5.67-7.84), and was 4.73 (min-max=1.96-6.9) in non-survivals. Mean GCS for survival was 13.1 (min-max=8-15), and was 7.13 (min-max=3-13) in non-survivals. The mortality prediction of the GCS, RR and SBP were also compared using univariate logistic regression. The OR of the actual GCS score was 0.492 (p <0.001; 95% CI, 0.338 – 0.714). While was 0.940 (p =0.005; 95% CI, 0.910-0.983) for SBP and 0.892 (p =0.023; 95% CI, 0.809 – 0.985) for RR. When the performances of the RTS in predicting in-hospital mortality was evaluated through ROC analysis, the AUC was 0.919 (95% CI 0.806 to 0.977) (p<0.001). Conclusion: RTS is a good predictor of prognosis among trauma patients. The lower the RTS is significantly associated with a higher mortality and long hospital stay. Early evaluation of the injury level can be effective in patients' management. The revised trauma score is a reliable indicator of prognosis of polytraumatized patients. Therefore, it can be used for field and emergency room triage.

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“…Regarding mortality, 16 patients (32%) died. This result is in contrast to Singh, A et al who found mortality only 16%cases [9]. Also, Attia, et al found mortality in 25% [7].…”

Section: Discussionmentioning

confidence: 60%

Evaluation of Revised Trauma Score in Polytrauma

Elshamhoot

Ibrahim²,

Metwally³

et al. 2022

JAMMR

View full text Add to dashboard Cite

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“…This is similar to local and international studies. [ 9 , 11 , 14 , 15 ] Young people are active in commercial activities and their involvement leads to a significant loss of man-hours and subsequent impact on economic activities.…”

Section: Discussionmentioning

confidence: 99%

Pattern of Presentation and Outcome of Adult Patients with Abdominal Trauma – A 7-Year Retrospective Study in a Nigerian Tertiary Hospital

Adeyeye

2023

Journal of Emergencies, Trauma, and Shock

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Introduction: Abdominal trauma is a major cause of morbidity and mortality in low- and middle-income countries. There is a paucity of trauma data in this region and this study aimed to show the pattern of presentation and outcome of patients with abdominal trauma at a North-Central Nigerian Teaching Hospital. Methods: This was a retrospective, observational study of patients with abdominal trauma who presented at the University of Ilorin Teaching Hospital from January 2013 to December 2019. Patients with clinical and/or radiological evidence of abdominal trauma were identified, and data extracted and analyzed. Results: A total of 87 patients were included in the study. There were 73 males and 14 females (5.2:1) with a mean age of 34.2 years. Blunt abdominal injury occurred in 53 (61%) patients with 10 patients (11%) having concomitant extra-abdominal injuries. A total of 105 abdominal organ injuries occurred in 87 patients with the small bowel being the most frequently injured organ in penetrating trauma, while in blunt abdominal injury, the spleen was most commonly injured. A total of 70 patients (80.5%) had emergency abdominal surgery with a morbidity rate of 38.6% and negative laparotomy rate of 2.9%. There were 15 deaths in the period accounting for 17% of patients with sepsis as the most common cause of death (66%). Shock at presentation, late presentation >12 h, need for perioperative intensive care unit admission, and repeat surgery were associated with a higher risk of mortality ( P < 0.05). Conclusion: Abdominal trauma in this setting is associated with a significant amount of morbidity and mortality. Typical patients present late and with poor physiologic parameters often resulting in an undesirable outcome. There should be steps targeted at preventive policies focused on reducing the incidence of road traffic crashes, terrorism, and violent crimes as well as improving health care infrastructure to cater to this specific group of patients.

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Injury Severity Score as a Predictor of Mortality in Patients with Abdominal Trauma at a Tertiary Nigerian Hospital

Adeyeye

2023

Nigerian Journal of Clinical Practice

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Background: Abdominal trauma is a major cause of morbidity and mortality in low-and middle-income countries. Typical patients present late and very sick with early recognition key to improving outcome. There is a paucity of trauma data in this environment and trauma scoring systems which have been validated in the developed world are yet to find widespread use here. Aim: This study aimed at evaluating role of injury severity score (ISS) in predicting mortality. Patients and Methods: This is a retrospective observational study of patients with abdominal trauma who presented at the University of Ilorin Teaching Hospital from 2013 to 2019. Records were identified and data were extracted and analyzed using Statistical package for social sciences 23. Results: A total of 87 patients were included in the study. There were 73 males and 14 females. The mean overall ISS in this study was 16.06 ± 7.9. Concerning morbidity, the area under the receiver operating characteristic curve in predicting morbidity was 0.843 (95% confidence interval 0.737-0.928). ISS had a strong sensitivity of 90% and specificity 55% at a cut-off of 14.50. Also, the area under the receiver operating characteristic curve in predicting mortality was 0.746 (95% confidence interval 0.588-0.908) and at a cut-off of 16.50; ISS had a specificity of 80% and sensitivity of 60%. The mean ISS of patients with mortality was 22.60 ± 10.5 while the survivors had a mean ISS of 14.7 ± 6.5 (P <.001). The mean ISS for patients who had morbidity was 22.8 ± 8.1 while those without morbidity had a mean ISS of 13.1 ± 5.7 (P <.05). Conclusion: ISS was a good predictor of morbidity and mortality in abdominal trauma in patients in this study. A prospective study with standardized abdominal imaging would be needed to further validate this scoring tool.

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Study of the efficacy of trauma and injury severity score to predict survival in patients of polytrauma

Cited by 3 publications

References 7 publications

Evaluation of Revised Trauma Score in Polytrauma

Evaluation of Revised Trauma Score in Polytrauma

Pattern of Presentation and Outcome of Adult Patients with Abdominal Trauma – A 7-Year Retrospective Study in a Nigerian Tertiary Hospital

Injury Severity Score as a Predictor of Mortality in Patients with Abdominal Trauma at a Tertiary Nigerian Hospital

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