2014
DOI: 10.5505/tjtes.2014.90490
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The relationship between Injury Severity Scores and transfusion requirements of 108 consecutive cases injured with high kinetic energy weapons: a tertiary center end-mode mortality analysis

Abstract: ÖZET AMAÇ: Çalışmamızda yüksek kinetik enerjili silahla yaralanmış olgulara ait ISS değerlerinin tıbbi müdahaleleri süresince gereksinim duyulan transfüzyon stratejileri ile ilişkisini ve son mod mortalite analizlerini gerçekleştirmeyi amaçladık. GEREÇ VE YÖNTEM:Olgulara ait tıbbi veriler çalışmaya dahil edildi. Olguların demografik özellikleri, yüksek kinetik enerjili silah türü, yaralanma şiddet skorları (Injury Severity Score, ISS), transfüzyon strateji seçenekleri, transfüzyon gereksinimi olan ve olmayan o… Show more

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Cited by 6 publications
(7 citation statements)
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“…Low GCS (especially <5), low RTS and ISS higher than 16 (especially 16-75) have been found to be linked to high mortality rates. [10][11][12][13][18][19][20][21] Some recent studies indicate that in numerous patient groups, evaluating ISS scores of 25-75 showing critical injury in two parts of ISS 25-48 and 50-75 would be more useful. [22] Similarly to the finding in literature, our studye found the GCS and RTS scores and TRISS levels of exitus patients to be significantly low and their ISS levels to be significantly high (GKS: 3.5, ISS: 57.7, TRISS survival for penetrating trauma: 5.8).…”
Section: Discussionmentioning
confidence: 99%
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“…Low GCS (especially <5), low RTS and ISS higher than 16 (especially 16-75) have been found to be linked to high mortality rates. [10][11][12][13][18][19][20][21] Some recent studies indicate that in numerous patient groups, evaluating ISS scores of 25-75 showing critical injury in two parts of ISS 25-48 and 50-75 would be more useful. [22] Similarly to the finding in literature, our studye found the GCS and RTS scores and TRISS levels of exitus patients to be significantly low and their ISS levels to be significantly high (GKS: 3.5, ISS: 57.7, TRISS survival for penetrating trauma: 5.8).…”
Section: Discussionmentioning
confidence: 99%
“…The Glasgow Coma Scale (GCS), Revised Trauma Score (RTS), Injury Severity Score (ISS), and the Trauma and Injury Severity Score (TRISS) probability of survival for blunt trauma and penetrating trauma were calculated for all patients. The extent of injury was graded according to the ISS as: mild (1)(2)(3)(4)(5)(6)(7)(8), moderate (9)(10)(11)(12)(13)(14), severe (15)(16)(17)(18)(19)(20)(21)(22)(23)(24) and critical (≥25). [2] In the present study, the evaluated parameters included mechanism of injury, results and types of diagnostic imaging, modality of treatment, consulted departments, hospitalization ratio, length of stay and complication rate and type.…”
Section: Methodsmentioning
confidence: 99%
“…[32] A low GCS (especially <5), low Revised Trauma Score (RTS), and a high ISS (especially >16) has been reported to be associated with high mortality in clinical trials examining the GCS, ISS, and RTS. [33][34][35] In our study, the mean ISS was 63.11 in patients who did not survive and 10.17 in patients who survived. The ISS values were found to be significantly higher in patients who died, which is in accordance with the literature.…”
Section: Discussionmentioning
confidence: 90%
“…This leads to an increased number of injured organs and extremity injuries throughout the body and explains why explosives increase mortality rates more than bullets. Blood loss amounts and ISS come to the forefront in studies examining the factors affecting mortality in combat injuries (14).…”
Section: Discussionmentioning
confidence: 99%