Toraks Travmas�n�n E�lik Etti�i Hasta Gruplar�nda Travma Skorlar�n�n Nihai Sonu�lar�n�n Morbidite ve Mortaliteyi �ng�rmedeki Ba�ar�s�n�n �ncelenmesi

Temiz Bekce, Suzan; Goksuluk, Dincer

Cilt : 32 Say� : 1 Y�l : 2026

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Toraks Travmas�n�n E�lik Etti�i Hasta Gruplar�nda Travma Skorlar�n�n Nihai Sonu�lar�n�n Morbidite ve Mortaliteyi �ng�rmedeki Ba�ar�s�n�n �ncelenmesi [Ulus Travma Acil Cerrahi Derg]

Ulus Travma Acil Cerrahi Derg. Bask�daki Makaleler: UTD-43780

Toraks Travmas�n�n E�lik Etti�i Hasta Gruplar�nda Travma Skorlar�n�n Nihai Sonu�lar�n�n Morbidite ve Mortaliteyi �ng�rmedeki Ba�ar�s�n�n �ncelenmesi

Suzan Temiz Bekce¹, Dincer Goksuluk²
¹Kayseri �ehir Hastanesi, G��s Cerrahisi, Kayseri, T�rkiye
²Erciyes �niversitesi T�p Fak�ltesi, Biyoistatistik Anabilim Dal�, Kayseri, T�rkiye

AMA�: Travma, �oklu organ sistemlerini etkileyebilmesi ve y�ksek morbidite ile mortalite oranlar�na yol a�mas� nedeniyle hem �lkemizde hem de k�resel d�zeyde �nemli bir sa�l�k sorunudur. K�nt toraks travmal� hastalarda farkl� travma skorlama sistemlerinin ya� gruplar�na g�re morbidite ve mortaliteyi �ng�rmedeki ba�ar�lar�n�n kar��la�t�rmal� olarak de�erlendirilmesi ama�lanm��t�r.
GERE� VE Y�NTEM: Ekim 2022 - Ocak 2024 tarihleri aras�nda XXX �ehir Hastanesi G��s Cerrahisi Klini�inde toraks travmas� tan�s�yla izlenen 210 hasta retrospektif olarak incelendi. Olgular, ya� de�i�kenine g�re �� grupta s�n�fland�r�ld�: Birinci grup (18�44 ya�), ikinci grup (45�64 ya�) ve ��nc� grup (65 ya� ve �zeri). Hastalar�n demografik �zellikleri, komorbid hastal�klar�, antikoag�lan kullan�m�, travma mekanizmas�, torasik ve ekstratorasik yaralanmalar�, yo�un bak�m ve ent�basyon �yk�leri de�erlendirildi. GKS (Glasgow Koma Skoru), RTS (Revize Travma Skoru), CTS (G��s Travma Skoru), ISS (Yaralanma �iddet Skoru) ve TRISS (Travma ve Yaralanma �iddet Skoru) sistemlerinin mortalite, ent�basyon ve yo�un bak�m gereksinimini �ng�rmedeki performanslar� ROC analizi ile kar��la�t�r�ld�.
BULGULAR: Hastalar�n ya� ortalamas� 53,43 y�l olup, �o�unlu�u erkekti. En s�k travma nedeni trafik kazas�yd�. Ya� ilerledik�e komorbiditeler ve antikoag�lan kullan�m� oranlar�n�n art�� g�sterdi�i g�zlendi. Yo�un bak�m yat�� oran� %32,38, mortalite oran� %4,28 olarak belirlendi. ROC analizine g�re ISS ve TRISS skorlar� t�m ya� gruplar�nda mortalite, ent�basyon gereklili�i ve yo�un bak�m gereksinimini �ng�rmede iyi performans� sergiledi.
SONU�: Toraks travmalar�, y�ksek morbidite ve mortalite oranlar�yla seyreden ciddi yaralanmalard�r. Bulgular, ISS ve TRISS skorlar�n�n ya� fark� g�zetmeksizin travma �iddetini belirlemede g�venilir g�stergeler oldu�unu ortaya koymaktad�r. Bu skorlar�n hastane i�i triyaj ve klinik karar verme s�re�lerinde kullan�lmas�, erken tan� ve etkili tedaviye �nemli �l��de katk� sa�layabilir.

Anahtar Kelimeler: morbidite, mortalite, toraks tavmas�, travma skor sistemleri

Examining the Success of Final Results of Trauma Scores in Predicting Morbidity and Mortality in Patient Groups with Accompanying Thoracic Trauma

Suzan Temiz Bekce¹, Dincer Goksuluk²
¹Kayseri City Hospital, Department Of Thoracic Surgery, Kayseri, Turkey
²Erciyes University Faculty Of Medicine, Department Of Biostatistics, Kayseri, Turkey

BACKGROUND: Due to its ability to involve multiple organ systems and result in high morbidity and mortality, trauma represents a major health concern both nationally and worldwide. The present study aimed to assess comparatively how accurately various trauma assessment tools predict morbidity and mortality in individuals with blunt thoracic trauma across different age groups.
METHODS: A retrospective review was conducted on 210 patients treated for thoracic trauma at the Department of Thoracic Surgery, XXX City Hospital, between October 2022 and January 2024. Cases were classified into three age groups: first group (18�44 years), second group (45�64 years), and third group (65 years and older). Demographic characteristics, comorbidities, anticoagulant use, mechanism of trauma, thoracic and extrathoracic injuries, and histories of intensive care unit (ICU) admission and intubation were evaluated. The performance of GCS (Glasgow Coma Scale), RTS (Revised Trauma Score), CTS (Chest Trauma Score), ISS (Injury Severity Score), and TRISS (Trauma and Injury Severity Score) in predicting mortality, intubation, and ICU requirement was evaluated using ROC analysis.
RESULTS: The average age of the patients was 53.43 years, with males constituting the majority. Traffic accidents were identified as the leading cause of trauma. With increasing age, the prevalence of comorbidities and anticoagulant use also increased. The ICU admission rate was 32.38%, and the mortality rate was 4.28%. According to ROC analysis, the ISS and TRISS scores demonstrated good predictive performance for mortality, intubation requirement, and ICU admission across all age groups.
CONCLUSION: Thoracic trauma represents a severe type of injury that leads to elevated rates of morbidity and mortality. The findings indicate that ISS and TRISS are reliable indicators for determining trauma severity regardless of age. Employing these trauma scores during hospital triage and clinical decision-making could greatly facilitate early diagnosis and timely, effective treatment.

Keywords: morbidity, mortality, thoracic trauma, trauma scoring systems

Sorumlu Yazar: Suzan Temiz Bekce, T�rkiye
Makale Dili: �ngilizce

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