The Utility of the Predictive Scores in Polytrauma with Abdomino-pelvic Injuries: A Series of 38 Patients
Á. Török, Ș. Bancu, R. Neagoe, M. Mureşan, T. Kántor, A. Suciu, K.E. Vas, Ö. NagyOriginal article, no. 1, 2014
Trauma is the principal cause of mortality among thepopulation under 40 years. The aim of our study was tocompare predictive trauma scores and demonstrate theirutility in the evaluation of the quality of care in polytrauma.Material and methods: A retrospective study was performedbetween 2000-2011 including polytrauma patients withabdominal lesions and pelvic fracture who underwentemergency laparotomy. We calculated ISS, GCS, RTS,TRISS, ASCOT trauma scores and W score for evaluationof treatment quality.Results: We obtained the necessary data to calculate thepredictive scores in 38 cases. Comparing the scores of thesurvivals and non-survivals we noted the following regardingmortality predictive scores: GCS 13.74 vs. 6.13 (p 0.0001),ISS 28.52 vs. 35 (p=0.0169), RTS 6.96 vs. 3.07 (p 0.0001),TRISS 84.67% vs. 28.7% (p 0.0001), ASCOT 10.34% vs.64.32% (p 0.0001). The W score in TRISS and ASCOTmethodology was -2.05 (p=0.7997) and -7.81 (p=0.336),respectively. There was no statistically significant differencebetween actual and predicted mortality, the former being39.47%.Conclusion: We did not observe differences between the twomethodologies TRISS and ASCOT in mortality prediction (p=0.5401). Both of them can be used to predict polytraumapatient evolution. The W score is useful in treatment qualityassessment.
