Yasemin BÜYÜKKARABACAK BİLGİN, Ahmet BAŞOĞLU, Tülin YETİM DURGUN, Ömer Serdar BEKDEMİR, Ayşen ŞENGÜL TASLAK, Cemgil ÖZTÜRK, Tamer KUTLU

Göğüs travmalarında travma skorlarının prognoza etkisi

Amaç: Bu çalışmada göğüs travmalarının travma şiddet skoru (ISS) ve yeni travma şiddet skoru (NISS) ile değerlendirilerek, travma skorlarının karşılaştırılması ve prognozu etkileyen risk faktörlerinin değerlendirilmesi amaçlandı. Çalışma planı: Ocak 1998 ile Aralık 2008 tarihleri arasında Göğüs Cerrahisi kliniğinde izlenen 1126 göğüs travmalı hasta (898 erkek, 228 kadın; ort. yaş 45.9 yıl; dağılım 9-97 yıl) retrospektif olarak değerlendirildi. Künt travmalı hastalar grup 1, penetran travmalı hastalar grup 2 olarak sınıflandırıldı. Hastalar cinsiyeti, yaşı, travma şekli, eşlik eden hastalıkları, alışkanlıkları, klinik bulguları, toraks dışı yaralanmaları, tedavi şekilleri, morbidite ve mortaliteleri açısından değerlendirildi. Travma skalalarına göre, ISS ve NISS skorları hesaplandı. Bulgular: Hastaların %82.3ü (n=927) künt, %17.7si (n=199) penetran travma idi. Künt travmalı hastaların ISS ortalaması 15±8.8 (dağılım; 2-66), NISS ortalaması ise 19±10.6 (dağılım; 3-66) idi. Penetran travmalı hastaların ISS ortalaması 10±5.6 (dağılım; 2-35), NISS ortalaması ise 14±8.8 (dağılım; 2-59) olarak belirlendi. Mortalite oranı ISS ve NISS >25 olan hastalarda istatistiksel olarak anlamlı bir şekilde yüksek idi (p

Effects of trauma scores on prognosis in chest traumas

Background: This study aims to compare the trauma scores by evaluating chest traumas both with the injury severity score (ISS) and the new injury severity score (NISS) and to assess the risk factors affecting the prognosis. Methods: A total of 1126 patients with chest trauma (898 males, 228 females; mean age 45.9 years; range 9 to 97 years) monitored in the Thoracic Surgery Clinic between January 1998 and December 2008 were retrospectively analyzed. Patients with blunt trauma were classified as group 1, and patients with penetrating trauma were classified as group 2. Patients were evaluated for their gender, age, type of trauma, comorbidities, habits, clinical signs, extrathoracic injuries, type of treatment, morbidity, and mortality. The ISS and NISS scores were estimated according to the trauma scales. Results: Of the patients, 82.3% (n=927) had blunt trauma and 17.7% (n=199) had penetrating trauma. The mean ISS of the patients with blunt trauma was 15±8.8 (range; 2-66), while the mean NISS was 19±10.6 (range; 3-66). The mean ISS of the patients with penetrating trauma was found to be 10±5.6 (range; 2-35), while the mean NISS was 14±8.8 (range; 2-59). The mortality rate of the patients with ISS and NISS >25 was statistically significantly higher (p

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