Retrospective Investigation of Patients with Multitrauma in the Intensive Care Unit
Objective:Scoring systems can be used to determine the severity of injury, triage, and create epidemiological data. This study evaluated the performance of scoring systems.Materials and Methods:A total of 130 patients who are admitted to the intensive care unit (ICU) with multitrauma diagnosis were...
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| Format: | Article |
| Language: | English |
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Galenos Yayinevi
2022-12-01
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| Series: | Türk Yoğun Bakim Derneği Dergisi |
| Subjects: | |
| Online Access: |
http://www.turkishjic.org/archives/archive-detail/article-preview/retrospective-nvestigation-of-patients-with-multit/49606
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| _version_ | 1797908265046114304 |
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| author | Orhun Demir Tuba Berra Sarıtaş |
| author_facet | Orhun Demir Tuba Berra Sarıtaş |
| author_sort | Orhun Demir |
| collection | DOAJ |
| description | Objective:Scoring systems can be used to determine the severity of injury, triage, and create epidemiological data. This study evaluated the performance of scoring systems.Materials and Methods:A total of 130 patients who are admitted to the intensive care unit (ICU) with multitrauma diagnosis were included in the study. The demographic characteristics of patients, length of stay in mechanical ventilation and ICU, mortality rates, and scores from scoring systems were calculated and recorded.Results:When the relationship between the age groups of patients and mortality was examined, a statistically significant difference was found in the mortality rate in patients >65 years of age (65.2%), in patients 18-65 years of age (36.7%), and in patients <18 years of age (23.5%), which was found to be higher. The Glasgow coma scale/score (GCS), revised trauma score (RTS), acute physiology and chronic health evaluation-II (APACHE-II), trauma injury severity score (TRISS), injury severity score (ISS), simplified acute physiology score II (SAPS II), extended SAPS II, and sequential organ failure assessment (SOFA) scores in the average of living patients were 9.94±4.09, 5.95±1.34, 11.46±6.18, 20.30±7.45, 14.86±10.20, 24.27±15.33, 3.98±1.34, 4.81±1.52, respectively, whereas the mean scores of patients with mortality were 5.40±2.19, 2.95±0.70, 31.96±6.79, 40.19±9.51, 43.60±16.95, 62.73±13.96, 5.69±1.88, 6.54±4.20, respectively. The average length of stay in the ICU was 11.55±16.12 days.Conclusion:When the scoring systems used in the ICU are compared, the GCS, RTS, TRISS, APACHE-II, SAPS II, and broad SAPS II can be used as a predictor of mortality; however, a meaningful result could not be obtained between the SOFA score and mortality prediction. Our study results revealed that scoring systems are efficient in predicting the duration of stay in the ICU and mechanical ventilation. |
| first_indexed | 2024-04-10T10:49:59Z |
| format | Article |
| id | doaj.art-926d95b118364bf29aa46def284c05b8 |
| institution | Directory Open Access Journal |
| issn | 2146-6416 2147-267X |
| language | English |
| last_indexed | 2024-04-10T10:49:59Z |
| publishDate | 2022-12-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Türk Yoğun Bakim Derneği Dergisi |
| spelling | doaj.art-926d95b118364bf29aa46def284c05b82023-02-15T16:20:10ZengGalenos YayineviTürk Yoğun Bakim Derneği Dergisi2146-64162147-267X2022-12-0120420721310.4274/tybd.galenos.2021.4785513049054Retrospective Investigation of Patients with Multitrauma in the Intensive Care UnitOrhun Demir0Tuba Berra Sarıtaş1 Tavşanlı Doç. Dr. Mustafa Kalemli Devlet Hastanesi, Anesteziyoloji ve Reanimasyon Kliniği, Kütahya, Türkiye Afyonkarahisar Sağlık Bilimleri Üniversitesi Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, Afyon, Türkiye Objective:Scoring systems can be used to determine the severity of injury, triage, and create epidemiological data. This study evaluated the performance of scoring systems.Materials and Methods:A total of 130 patients who are admitted to the intensive care unit (ICU) with multitrauma diagnosis were included in the study. The demographic characteristics of patients, length of stay in mechanical ventilation and ICU, mortality rates, and scores from scoring systems were calculated and recorded.Results:When the relationship between the age groups of patients and mortality was examined, a statistically significant difference was found in the mortality rate in patients >65 years of age (65.2%), in patients 18-65 years of age (36.7%), and in patients <18 years of age (23.5%), which was found to be higher. The Glasgow coma scale/score (GCS), revised trauma score (RTS), acute physiology and chronic health evaluation-II (APACHE-II), trauma injury severity score (TRISS), injury severity score (ISS), simplified acute physiology score II (SAPS II), extended SAPS II, and sequential organ failure assessment (SOFA) scores in the average of living patients were 9.94±4.09, 5.95±1.34, 11.46±6.18, 20.30±7.45, 14.86±10.20, 24.27±15.33, 3.98±1.34, 4.81±1.52, respectively, whereas the mean scores of patients with mortality were 5.40±2.19, 2.95±0.70, 31.96±6.79, 40.19±9.51, 43.60±16.95, 62.73±13.96, 5.69±1.88, 6.54±4.20, respectively. The average length of stay in the ICU was 11.55±16.12 days.Conclusion:When the scoring systems used in the ICU are compared, the GCS, RTS, TRISS, APACHE-II, SAPS II, and broad SAPS II can be used as a predictor of mortality; however, a meaningful result could not be obtained between the SOFA score and mortality prediction. Our study results revealed that scoring systems are efficient in predicting the duration of stay in the ICU and mechanical ventilation. http://www.turkishjic.org/archives/archive-detail/article-preview/retrospective-nvestigation-of-patients-with-multit/49606 traumaintensive care unitmortalityscoring systems |
| spellingShingle | Orhun Demir Tuba Berra Sarıtaş Retrospective Investigation of Patients with Multitrauma in the Intensive Care Unit Türk Yoğun Bakim Derneği Dergisi trauma intensive care unit mortality scoring systems |
| title | Retrospective Investigation of Patients with Multitrauma in the Intensive Care Unit |
| title_full | Retrospective Investigation of Patients with Multitrauma in the Intensive Care Unit |
| title_fullStr | Retrospective Investigation of Patients with Multitrauma in the Intensive Care Unit |
| title_full_unstemmed | Retrospective Investigation of Patients with Multitrauma in the Intensive Care Unit |
| title_short | Retrospective Investigation of Patients with Multitrauma in the Intensive Care Unit |
| title_sort | retrospective investigation of patients with multitrauma in the intensive care unit |
| topic | trauma intensive care unit mortality scoring systems |
| url |
http://www.turkishjic.org/archives/archive-detail/article-preview/retrospective-nvestigation-of-patients-with-multit/49606
|
| work_keys_str_mv | AT orhundemir retrospectiveinvestigationofpatientswithmultitraumaintheintensivecareunit AT tubaberrasarıtas retrospectiveinvestigationofpatientswithmultitraumaintheintensivecareunit |