Hatice Şeyma AKÇA, Abdullah ALGIN, Serdar ÖZDEMİR, Elif KOÇKARA, Serkan Emre EROĞLU

Travma skorlarının prognozu ve hastaneye yatışı öngörmede etkinliğinin karşılaştırılması

Amaç: Bu çalışmada travma skorlama sistemlerinden ISS (Injury Severity Score), RTS (Revised Trauma Score) ve VİEWS (VitalPAC Early Warning Score)’in prognoza ve mortaliteye etkilerinin karşılaştırılması amaçlanmıştır. Gereç ve Yöntem: Multitravma ile gelen 18 yaş üstü onam alınan hastalar 01.05.2019-01.11.2019 tarihleri arasında prospektif olarak incelendi. Travma skorları, ilk 24 saatlik klinik sonlanım, cerrahi gerekliliği ve 30 günlük mortalite verileri kaydedildi. Bulgular: Çalışmaya 435 hasta dahil edildi. Hastaların 333’ü (%76,6) erkek idi. Yaş median değeri 34(IQR:18-90) idi. 30 günlük mortalite oranı, ilk 24 saatte hospitalizasyon oranı, ICU yatış oranı ve cerrahi gereklilik oranı sırasıyla; %1,1, %19,1, %1,8 ve %8,5 idi. ISS, RTS ve VİEWS’in 30 günlük mortalite ile anlamlı ilişkisi olduğu gözlendi. 30 günlük mortalite ile ilgili olarak yapılan ROC analizinde ISS, RTS, and VIEWS AUC değerleri arasında istatistiksel olarak anlamlı fark bulunmamıştır. Hastanede yatış süresi ve operasyon gerekliliği açısından da ISS, RTS ve VİEWS arasında istatistiksel olarak anlamlı fark bulunmamıştır. Sonuç: Travma skorlama sistemlerinin mortalite ile ilişkisinin karşılaştırılmasının yanısıra, hastanede kalış süresi ve operasyon ihtiyacı olup olmaması ile bu skorlama sistemlerinin ilişkili olabileceği unutulmamalıdır.

Anahtar Kelimeler:

ISS, RTS, VİEWS, travma skorları, travma, mortalite

Comparison of the efficacy of trauma scores in predicting prognosis and hospitalization

Purpose: The aim of this study was to compare the efficacy of ISS (injury Severity Score), RTS (Revised Trauma Score) and ViEWS (VitalPAC Early Warning Score) scoring systems in predicting prognosis and mortality. Materials and Methods: Patients over the age of 18 who presented with multitrauma were prospectively examined between May 1, 2019 and November 1, 2019. Trauma scores, clinical outcomes within the first 24 hours, surgery requirement and 30-day mortality data were recorded. Results: The study included 435 patients, of whom 333 (76.6%) were male. The median age was 34 (IQR: 18-90) years. It was observed that ISS, RTS and ViEWS had a significant relationship with 30-day mortality. In the ROC analysis of 30-day mortality, no statistically significant difference was observed between the ISS, RTS, and ViEWS AUC values. There was also no statistically significant difference in terms of the ISS, RTS and ViEWS according to the length of hospital stay and surgery requirement. Conclusion: In addition to their relationship with mortality, it should be kept in mind that the investigated scoring systems may also be related to the length of hospital stay and surgery requirement.

Keywords:

ISS, RTS, VİEWS, trauma, trauma scores,

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