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

Ya�mur, Yusuf; G�lo�lu, Cafer; U�ur, Mustafa; Akku�, Zeki; �elik, Yusuf

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EVALUATION OF PATIENTS WITH MULTIPLE INJURIES: COMPARISON OF INJURY SEVERITY SCORE AND REVISED TRAUMA SCORE [Ulus Travma Acil Cerrahi Derg]

Ulus Travma Acil Cerrahi Derg. 1997; 3(1): 73-77

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

Yusuf Ya�mur¹, Cafer G�lo�lu¹, Mustafa U�ur¹, Zeki Akku�¹, Yusuf �elik¹
Dicle �niversitesi T�p Fak�ltesi, Genel Cerrahi Ad

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.

Keywords: TRAUMA SCORE, INTENSIVE CARE

MULT� TRAVMALI HASTALARIN DE�ERLEND�R�LMES�: YARALANMA ��DDET� SKORU �LE REV�ZE ED�LM�� TRAVMA SKORU'NUN KAR�ILA�TIRILMASI

Yusuf Ya�mur¹, Cafer G�lo�lu¹, Mustafa U�ur¹, Zeki Akku�¹, Yusuf �elik¹
Dicle �niversitesi T�p Fak�ltesi, Genel Cerrahi Ad

Bu �al��mada 1996 Ocak-Nisan aylar� aras�nda Dicle �niversitesi T�p Fak�ltesi, �lk ve Acil Yard�m Anabilim Dal�'na ba�vuran 97 travma ge�irmi� hasta de�erlendirildi. Revize edilmi� travma skoru (RTS) ve yaralanma �iddeti skorunun (ISS) hastan�n ya�ama olas�l��n� belirlemedeki yeri kar��la�t�r�ld�. 72 hasta servise, 25 hasta yo�un bak�ma yat�r�ld�. Yo�un bak�ma yat�r�lan 9 hasta �ld�. Total mortalite %9 bulundu. ISS ortalama de�eri servisde yatan hastalarda 9.99�8.58, yo�un bak�mda yatan ve taburcu olan hastalarda 26.87�21.84 ve yo�un bak�mda �len hastalarda 48.78�22.98 bulundu. RTS ortalama de�eri serviste yatan hastalarda 7.75�7.77, yo�un bak�mda yatan taburcu olan ve �len hastalarda s�ras�yla 6.70�1.14 ve 2.86�2.53 olarak saptand�. RTS ve ISS yasayan hastalar� yasamayanlardan istatistiksel olarak anlaml� bir �ekilde ay�rd� (RTS t=5.41 p<0.001, ISS t=4.56 p<0.001). RTS ve ISS'nin hastan�n ya�ama olas�l��n� istatistiki a��dan �nemli bir �ekilde belirledi�im tesbit ettik.

Anahtar Kelimeler: TRAVMA SKORU, YO�UN BAKIM

Yusuf Ya�mur, Cafer G�lo�lu, Mustafa U�ur, Zeki Akku�, Yusuf �elik. EVALUATION OF PATIENTS WITH MULTIPLE INJURIES: COMPARISON OF INJURY SEVERITY SCORE AND REVISED TRAUMA SCORE. Ulus Travma Acil Cerrahi Derg. 1997; 3(1): 73-77

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