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46490

Identification of the Clinical Predictors of Mortality in Blunt Polytrauma Patients Attending the Emergency Department in Suez Canal University Hospital

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Last updated: 22 Jan 2023

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Abstract

Background: Trauma is a worldwide problem. It is the disease of young and the leading cause of death in the first four decades of life. Several trauma scores have been devised to predict injury severity and risk of mortality. Trauma score systems try to translate the severity of injury into a number. Regardless their accuracy, they are complex to calculate and it is clear that their use in clinical decision making is limited.Aim: The aim of this study was to identify the clinical predicting factors of mortality in blunt poly-trauma patients.Patients and methods: This was a descriptive study conducted on 106 adult blunt poly-traumatized patients from July 2013 to December 2013 attending the Emergency Department at Suez Canal University Hospital. Results: In this study, 78.3% of 106 patients were males. Mortality rate was 18.9%, motor car accidents were responsible for 87.7% of the total cases. The most common sites to be affected were the extremities and pelvis but the head was the only injury related to mortality shock index (SI) was the most sensitive predictor 100% and the most specific one was ISS 100%. Heart rate (HR), Glasgow Coma Score (GCS), and systolic blood pressure (SBP) were good predictors to mortality. Conclusion: We conclude that SI, modified shock index (MSI), injury severity score (ISS), revised trauma score (RTS), and vital signs with presence of head trauma and the need for intubation or ICU admission are predictors of mortality in poly-traumatized patients.

DOI

10.21608/scumj.2014.46490

Keywords

multiple-trauma, clinical stratification, ICU

Authors

First Name

Zeinab

Last Name

Abd EL-Atiff

MiddleName

M

Affiliation

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

Email

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City

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Orcid

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First Name

Adel

Last Name

El-Baih

MiddleName

H

Affiliation

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

Email

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City

-

Orcid

-

First Name

Ahmed

Last Name

Abou Zeid

MiddleName

E

Affiliation

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

Email

-

City

-

Orcid

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First Name

Goda

Last Name

Ellabban

MiddleName

M

Affiliation

Department of General Surgery, Faculty of Medicine, Suez Canal University, Egypt

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-

City

-

Orcid

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Volume

17

Article Issue

2

Related Issue

6818

Issue Date

2014-10-01

Receive Date

2019-08-30

Publish Date

2014-10-01

Page Start

99

Page End

105

Print ISSN

1110-6999

Online ISSN

2090-2581

Article File

SCUMJ_Volume 17_Issue 2_Pages 99-105.pdf

PDF . 208.7kB

Link

https://scumj.journals.ekb.eg/article_46490.html

Detail API

https://scumj.journals.ekb.eg/service?article_code=46490

Order

4

Type

Original Article

Type Code

938

Publication Type

Journal

Publication Title

Suez Canal University Medical Journal

Publication Link

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

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Article

Created At

22 Jan 2023