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43916

Evaluation of Prognostic Predictors of Mangled Extremity Severity Scoring System on the Outcome of Traumatic Extremities Injuries at Emergency Department in Suez Canal University

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Last updated: 04 Jan 2025

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Abstract

Background: Severe traumatic lower limbs injuries have been associated with high incidence of multiple systems involved (integument, nerve, bone, and vascular structures). That's make difficulty and stress on surgeon's decision making either to amputate or preserve the injured limbs. The Mangled Extremity Severity Score (MESS) was developed in Seattle (Johansen et al 1990), based on both retrospective and prospective analysis of admission data of patients with severe limb injuries. Aim: evaluation of the prognostic predicting factors of outcome of traumatic extremities patients using Mangled Severity Scoring System at Emergency Department in Suez Canal University Hospital in order to help surgeon to make decision either to preserve or to amputate. Patients and Methods: This is a descriptive study (cross sectional), conducted on 60 patients with severe extremities injuries that met the criteria of the Mangled Extremity Severity Scoring attending to the Emergency Department (ED) at Suez Canal University Hospital. Results: This study showed that 83.33% of the patients had associated fractures, 8.33% of them had pneumothorax, 5% of them had abdominal collection and 3.33% of them had brain injuries. This study showed that 75% of the studied patients had MESS less than 7 while 25% of them had MESS > or = 7. The Mangled scoring system was a good predictor of amputation among the studied patients with sensitivity of 71.4%, specificity of 100% and 90% accuracy. Conclusion: Most of the patients had Mangled Extremity Severity Score less than 7. The MESS showed statistically significant difference between the amputated and the non-amputated patients with 90% accuracy in prediction of amputation.  

DOI

10.21608/scumj.2016.43916

Keywords

MESS, ED

Authors

First Name

Ahmed

Last Name

Essa

MiddleName

A

Affiliation

Department of Emergency Medicine, Faculty of Medicine, Suez Canal University, Egypt

Email

abdelhady200@yahoo.com

City

-

Orcid

-

First Name

Islam

Last Name

El-Shaboury

MiddleName

M

Affiliation

Department of Emergency Medicine, Faculty of Medicine, Suez Canal University, Egypt

Email

-

City

-

Orcid

-

First Name

Yasmin

Last Name

El-Beltagy

MiddleName

E

Affiliation

Department of Emergency Medicine, Faculty of Medicine, Suez Canal University, Egypt

Email

-

City

-

Orcid

-

Volume

19

Article Issue

1

Related Issue

6813

Issue Date

2016-03-01

Receive Date

2019-08-05

Publish Date

2016-03-01

Page Start

39

Page End

47

Print ISSN

1110-6999

Online ISSN

2090-2581

Article File

SCUMJ_Volume 19_Issue 1_Pages 39-47.pdf

PDF . 565.0kB

Link

https://scumj.journals.ekb.eg/article_43916.html

Detail API

https://scumj.journals.ekb.eg/service?article_code=43916

Order

5

Type

Original Article

Type Code

938

Publication Type

Journal

Publication Title

Suez Canal University Medical Journal

Publication Link

https://scumj.journals.ekb.eg/

MainTitle

Evaluation of Prognostic Predictors of Mangled Extremity Severity Scoring System on the Outcome of Traumatic Extremities Injuries at Emergency Department in Suez Canal University Hospitals

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Article

Created At

22 Jan 2023