The role of trauma scoring systems and serum lactate level in predicting prognosis in thoracic trauma
| Autor: | Eren Usul, Erdal Demirtaş, Anıl Gökçe, Eray Çınar |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Trauma Severity Indices
Respiratory rate business.industry Mortality rate Emergency department Revised Trauma Score Logistic regression Prognosis Anesthesiology and Pain Medicine Blood pressure Injury Severity Score Predictive Value of Tests Anesthesia Intensive care Emergency Medicine Lactates Medicine Humans Wounds and Injuries Surgery business Retrospective Studies |
| Zdroj: | Ulusal travma ve acil cerrahi dergisi = Turkish journal of traumaemergency surgery : TJTES. 27(6) |
| ISSN: | 1306-696X |
| Popis: | BACKGROUND: Chest trauma constitutes 10% of admissions due to trauma and causes 25-50% of trauma-related deaths. It is important to evaluate the level of thoracic trauma in patients accurately and early, start the correct treatment, predict the need for intensive care and mortality, and prevent complications that may develop. In this study, the predictive efficiency of the serum lactate level, shock index, and scoring systems regarding the prognosis in patients with major thoracic trauma were compared. METHODS: The files of the 683 patients who applied to the emergency department of our hospital due to trauma, between 2014 and 2020, were analyzed retrospectively. Patients with isolated thoracic trauma were included in the study. RESULTS: A total of 683 patients were included in the study. Of the patients, 34 (5%) were in the non-survivor group and 649 (95%) were in the survivor group. There was no statistically significant difference between the systolic blood pressure, diastolic blood pres -sure, pulse rate, respiratory rate, or shock index in either group (p>0.05). The Glasgow Come Scale (GCS) score in the non-survivor group was significantly lower than that in the survivor group (p=0.000). The lactate level, revised trauma score (RTS), injury severity score (ISS), and New ISS (NISS) in the non-survivor group were significantly higher than those in the survivor group. A significant dif-ference was found in terms of age, lactate level, and the GCS, RTS, ISS, and NISS (p |
| Databáze: | OpenAIRE |
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