Comparison of trauma scoring systems for predicting mortality in firearm injuries

K�ksal, �zlem; �zdemir, Fatma; Bulut, Mehtap; Ayd�n, �ule; Almac�o�lu, Meral Leman; �zg��, Halil

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Comparison of trauma scoring systems for predicting mortality in firearm injuries [Ulus Travma Acil Cerrahi Derg]

Ulus Travma Acil Cerrahi Derg. 2009; 15(6): 559-564

Comparison of trauma scoring systems for predicting mortality in firearm injuries

�zlem K�ksal¹, Fatma �zdemir¹, Mehtap Bulut¹, �ule Ayd�n¹, Meral Leman Almac�o�lu¹, Halil �zg��²
¹Department Of Emergency Medicine, Uludag University, Bursa, Turkey
²Department Of General Surgery, Uludag University, Bursa, Turkey

BACKGROUND
Prediction of mortality in trauma patients is an important part of trauma care. Trauma scoring systems are the current methods used for prediction of mortality. We aimed to evaluate and compare the performances of Injury Severity Score (ISS) and New Injury Severity Score (NISS) in firearm injuries.
METHODS
Records of 135 firearm-injured patients who applied to Uludag University Emergency Department between January 2001 and December 2005 were analyzed retrospectively. All patients� data, including age, gender, cause of injury, initial vital signs, injury region, Glasgow Coma Scale (GCS), Revised Trauma Score (RTS), mortality, operation data, and final diagnosis, were collected, and ISS, NISS and Trauma and Injury Severity Score (TRISS) were calculated.
RESULTS
Mortality rate was 12.6%. The patients� mean GCS, RTS, ISS, NISS, and TRISS scores were 13.41�0.31, 10.65�0.26, 17.04�1.20, 21.94�1.45, and 9.52�2.37, respectively. The patients were divided into two groups as ISS=NISS (53.3%) and ISSCONCLUSION
ISS and NISS both performed well in mortality prediction of firearm injuries. NISS demonstrated no superiority to ISS for prediction of mortality in these patients.

Keywords: Injury Severity Score, New Injury Severity Score; firearm injury; prediction of mortality.

Ate�li silah yaralanmal� olgularda mortalite belirlenmesinde skorlama sistemlerinin kar��la�t�r�lmas�

�zlem K�ksal¹, Fatma �zdemir¹, Mehtap Bulut¹, �ule Ayd�n¹, Meral Leman Almac�o�lu¹, Halil �zg��²
¹Uluda� �niversitesi T�p Fak�ltesi, Acil T�p Ana Bilim Dal�, Bursa
²Uluda� �niversitesi T�p Fak�ltesi, Genel Cerrahi Ana Bilim Dal�, Bursa

AMA�
Travma hastalar�nda mortalitenin �ng�r�lmesi travma bak�m�n�n �nemli bir par�as�d�r. G�n�m�zde bu ama�la travma skorlama sistemleri yayg�n olarak kullan�lmaktad�r. Bu �al��mada, ate�li silah yaralanmas� olan hastalarda yaralanma �iddeti �l�e�i (ISS) ve yeni yaralanma �iddeti �l�e�i�nin (NISS) mortaliteyi belirlemedeki performanslar�n�n de�erlendirilmesi ve kar��la�t�r�lmas� ama�land�.
GERE� VE Y�NTEM
Uluda� �niversitesi Hastanesi Acil Servisine Ocak 2001-Aral�k 2005 tarihleri aras�nda ba�vuran, 135 ate�li silah yaralanmal� olgunun kay�tlar� geriye d�n�k olarak incelendi. T�m hastalar�n ya�, cinsiyet, olu� �ekli, ba�vuru an�ndaki vital bulgular�, yaralanma b�lgeleri, Glasgow koma skalas� (GCS) ve revize travma skoru (RTS), mortalite, operasyon bilgileri ve kesin tan�lar� kaydedildi ve ISS, NISS ve TRISS skorlar� hesapland�.
BULGULAR
Mortalite oran� %12,6 idi. Hastalar�n GCS, RTS, ISS, NISS ve TRISS skorlar� s�ras�yla; 13,41�0,31, 10,65�0,26, 17,04�1,20, 21,94�1,45, 9,52�2,37 olarak saptand�. Hastalar ISS=NISS (%53,3) ve ISSSONU�
Her iki skorlama sistemi de ate�li silah yaralanmal� hastalarda mortaliteyi �ng�rmedeki performans� iyidir ve bu hastalarda mortaliteyi belirlemede NISS�nin ISS�ye �st�n olmad�� sonucuna var�lm��t�r.

Anahtar Kelimeler: ISS, NISS, ate�li silah yaralanmas�, mortalitenin �ng�r�lmesi.

�zlem K�ksal, Fatma �zdemir, Mehtap Bulut, �ule Ayd�n, Meral Leman Almac�o�lu, Halil �zg��. Comparison of trauma scoring systems for predicting mortality in firearm injuries. Ulus Travma Acil Cerrahi Derg. 2009; 15(6): 559-564

Corresponding Author: �zlem K�ksal, T�rkiye
Manuscript Language: English

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