EVALUATION OF PATIENTS WITH MULTIPLE INJURIES: COMPARISON OF INJURY SEVERITY SCORE AND REVISED TRAUMA SCORE

In this prospective study, 97 critically injured patients were evaluated at Dicle University Department of Emergency Surgery between January April 1996. The predictive power of injury severity score (ISS) and Revised trauma score (RTS) for the outcome of individual patients was studied. 72 patients were admitted to the hospital, 25 patients to the ICU. 9 patients died in the ICU, for a total mortality rate of 9%. The mean ISS was 9.99±8.58 in hospital survivors and it was 26.87±21.84 and 48.78± 22.98 in ICU survivors and non survivors respectively. The mean RTS was 7.75± 1.17 in hospital survivors, 6.70±1.14 in ICU survivors and 2.86±2.53 in ICU nonsurvivors. Both RTS and ISS separated survivors from nonsurvivors statistically (RTS t=5.41 p<0.001, ISS t=4.56 p<0.001.

MULTÝ TRAVMALI HASTALARIN DEÐERLENDÝRÝLMESÝ: YARALANMA ÞÝDDETÝ SKORU ÝLE REVÝZE EDÝLMÝÞ TRAVMA SKORU'NUN KARÞILAÞTIRILMASI

Bu çalýþmada 1996 Ocak-Nisan aylarý arasýnda Dicle Üniversitesi Týp Fakültesi, Ýlk ve Acil Yardým Anabilim Dalý'na baþvuran 97 travma geçirmiþ hasta deðerlendirildi. Revize edilmiþ travma skoru (RTS) ve yaralanma þiddeti skorunun (ISS) hastanýn yaþama olasýlýðýný belirlemedeki yeri karþýlaþtýrýldý. 72 hasta servise, 25 hasta yoðun bakýma yatýrýldý. Yoðun bakýma yatýrýlan 9 hasta öldü. Total mortalite %9 bulundu. ISS ortalama deðeri servisde yatan hastalarda 9.99±8.58, yoðun bakýmda yatan ve taburcu olan hastalarda 26.87±21.84 ve yoðun bakýmda ölen hastalarda 48.78±22.98 bulundu. RTS ortalama deðeri serviste yatan hastalarda 7.75±7.77, yoðun bakýmda yatan taburcu olan ve ölen hastalarda sýrasýyla 6.70±1.14 ve 2.86±2.53 olarak saptandý. RTS ve ISS yasayan hastalarý yasamayanlardan istatistiksel olarak anlamlý bir þekilde ayýrdý (RTS t=5.41 p<0.001, ISS t=4.56 p<0.001). RTS ve ISS'nin hastanýn yaþama olasýlýðýný istatistiki açýdan önemli bir þekilde belirlediðim tesbit ettik.