An evaluation of trauma scores (RTS, GAP, EMTRAS) on mortality in multiple trauma patients
Background: Emergency Trauma Score (EMTRAS), Revised Trauma Score (RTS) and Glasgow Age Pressure (GAP) are used to determine the patient status, and to predict the intervention and prognosis.Objectives: The aim of the present study was to evaluate the association between mortality and trauma severit...
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| Format: | Article |
| Language: | English |
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Kashan University of Medical Sciences
2023-07-01
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| Series: | Archives of Trauma Research |
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| Online Access: | https://archtrauma.kaums.ac.ir/article_175285_8b3b8f846d4d491973a55a858ba15986.pdf |
| _version_ | 1797680959527583744 |
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| author | Ali Bucak Ali Karakus |
| author_facet | Ali Bucak Ali Karakus |
| author_sort | Ali Bucak |
| collection | DOAJ |
| description | Background: Emergency Trauma Score (EMTRAS), Revised Trauma Score (RTS) and Glasgow Age Pressure (GAP) are used to determine the patient status, and to predict the intervention and prognosis.Objectives: The aim of the present study was to evaluate the association between mortality and trauma severity scores (EMTRAS, RTS, and GAP) in multiple trauma patients.Methods: In this study, patients who had referred to the Emergency Department of Mustafa Kemal University Hospital due to multiple trauma within a one-year period were evaluated retrospectively. The hospital is located in the central district of Hatay, Antakya in the Republic of Turkey, 680 km from the capital, on the Syrian border. Its population is 1,5 million. Antakya is located as the central district of Hatay with population of 400,000. Demographic data, trauma type, nationality, vital parameters [pulse, peripheral oxygen saturation (SO2), respiratory count, systolic blood pressure (SBP), diastolic blood pressure (DBP)], physiological scoring systems (GCS, RTS, GAP and EMTRAS), and mortality states of the patients were reviewed. Data were analysed by SPSS 21, and the effect of current parameters on short-term (in the emergency service) and long-term (30 days) mortality was examined.Results: Three hundred and thirty-three multi-trauma patients were enrolled into the study. The median age of the patients was 31 (IQR: 22) years; 88.3% (294) of the patients were male. The exitus rate was detected as 7.8% in the emergency service and 26.4% within one month. GCS, RTS and GAP values of the patients who have died in the emergency service and within one month were significantly lower; however, the EMTRAS level was significantly higher in these patients (p<0.05). RTS and EMTRAS were detected as short- and long-term independent variables for mortality (p<0.05). After Receiver Operating Characteristic (ROC) analysis, the areas under the curve (AUC) of GCS, GAP, RTS and EMTRAS for short-term mortality were 0.861cm2, 0.876 cm2, 0.901cm2 and 0,917cm2, respectively; the AUC of such parameters for long-term mortality was detected 0.896cm2, 0.904 cm2, 0.914cm2and 0.899cm2, respectively.Conclusion: EMTRAS values were detected more significant parameters for short-term mortality whereas RTS was more significant for long-term mortality in multiple trauma patients. Such two scores may be useful to predict the patient prognosis along with GCS or solely. |
| first_indexed | 2024-03-11T23:38:25Z |
| format | Article |
| id | doaj.art-d0dc0009e16f467cb7ad5538fad9b536 |
| institution | Directory Open Access Journal |
| issn | 2251-953X 2251-9599 |
| language | English |
| last_indexed | 2024-03-11T23:38:25Z |
| publishDate | 2023-07-01 |
| publisher | Kashan University of Medical Sciences |
| record_format | Article |
| series | Archives of Trauma Research |
| spelling | doaj.art-d0dc0009e16f467cb7ad5538fad9b5362023-09-19T17:49:45ZengKashan University of Medical SciencesArchives of Trauma Research2251-953X2251-95992023-07-01122637010.48307/atr.2023.175285175285An evaluation of trauma scores (RTS, GAP, EMTRAS) on mortality in multiple trauma patientsAli Bucak0Ali Karakus1Iskenderun Public Hospital Emergency Service, Hatay, TurkiyeHatay Mustafa Kemal University, Faculty of Medicine, Emergency Medicine, Hatay, TurkiyeBackground: Emergency Trauma Score (EMTRAS), Revised Trauma Score (RTS) and Glasgow Age Pressure (GAP) are used to determine the patient status, and to predict the intervention and prognosis.Objectives: The aim of the present study was to evaluate the association between mortality and trauma severity scores (EMTRAS, RTS, and GAP) in multiple trauma patients.Methods: In this study, patients who had referred to the Emergency Department of Mustafa Kemal University Hospital due to multiple trauma within a one-year period were evaluated retrospectively. The hospital is located in the central district of Hatay, Antakya in the Republic of Turkey, 680 km from the capital, on the Syrian border. Its population is 1,5 million. Antakya is located as the central district of Hatay with population of 400,000. Demographic data, trauma type, nationality, vital parameters [pulse, peripheral oxygen saturation (SO2), respiratory count, systolic blood pressure (SBP), diastolic blood pressure (DBP)], physiological scoring systems (GCS, RTS, GAP and EMTRAS), and mortality states of the patients were reviewed. Data were analysed by SPSS 21, and the effect of current parameters on short-term (in the emergency service) and long-term (30 days) mortality was examined.Results: Three hundred and thirty-three multi-trauma patients were enrolled into the study. The median age of the patients was 31 (IQR: 22) years; 88.3% (294) of the patients were male. The exitus rate was detected as 7.8% in the emergency service and 26.4% within one month. GCS, RTS and GAP values of the patients who have died in the emergency service and within one month were significantly lower; however, the EMTRAS level was significantly higher in these patients (p<0.05). RTS and EMTRAS were detected as short- and long-term independent variables for mortality (p<0.05). After Receiver Operating Characteristic (ROC) analysis, the areas under the curve (AUC) of GCS, GAP, RTS and EMTRAS for short-term mortality were 0.861cm2, 0.876 cm2, 0.901cm2 and 0,917cm2, respectively; the AUC of such parameters for long-term mortality was detected 0.896cm2, 0.904 cm2, 0.914cm2and 0.899cm2, respectively.Conclusion: EMTRAS values were detected more significant parameters for short-term mortality whereas RTS was more significant for long-term mortality in multiple trauma patients. Such two scores may be useful to predict the patient prognosis along with GCS or solely.https://archtrauma.kaums.ac.ir/article_175285_8b3b8f846d4d491973a55a858ba15986.pdfmultiple traumartsgapemtrasmortality |
| spellingShingle | Ali Bucak Ali Karakus An evaluation of trauma scores (RTS, GAP, EMTRAS) on mortality in multiple trauma patients Archives of Trauma Research multiple trauma rts gap emtras mortality |
| title | An evaluation of trauma scores (RTS, GAP, EMTRAS) on mortality in multiple trauma patients |
| title_full | An evaluation of trauma scores (RTS, GAP, EMTRAS) on mortality in multiple trauma patients |
| title_fullStr | An evaluation of trauma scores (RTS, GAP, EMTRAS) on mortality in multiple trauma patients |
| title_full_unstemmed | An evaluation of trauma scores (RTS, GAP, EMTRAS) on mortality in multiple trauma patients |
| title_short | An evaluation of trauma scores (RTS, GAP, EMTRAS) on mortality in multiple trauma patients |
| title_sort | evaluation of trauma scores rts gap emtras on mortality in multiple trauma patients |
| topic | multiple trauma rts gap emtras mortality |
| url | https://archtrauma.kaums.ac.ir/article_175285_8b3b8f846d4d491973a55a858ba15986.pdf |
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