Systemic Inflammation Response Syndrome Score Predicts the Mortality in Multiple Trauma Patients
The Korean Journal of Thoracic and Cardiovascular Surgery
;
: 523-528, 2014.
Artículo
en Inglés
| WPRIM
| ID: wpr-187579
ABSTRACT
BACKGROUND:
Numerous statistical models have been developed to accurately predict outcomes in multiple trauma patients. However, such trauma scoring systems reflect the patient's physiological condition, which can only be determined to a limited extent, and are difficult to use when performing a rapid initial assessment. We studied the predictive ability of the systemic inflammatory response syndrome (SIRS) score compared to other scoring systems.METHODS:
We retrospectively reviewed 229 patients with multiple trauma combined with chest injury from January 2006 to June 2011. A SIRS score was calculated for patients based on their presentation to the emergency room. The patients were divided into two groups those with an SIRS score of two points or above and those with an SIRS score of one or zero. Then, the outcomes between the two groups were compared. Furthermore, the ability of the SIRS score and other injury severity scoring systems to predict mortality was compared.RESULTS:
Hospital death occurred in 12 patients (5.2%). There were no significant differences in the general characteristics of patients, but the trauma severity scores were significantly different between the two groups. The SIRS scores, number of complications, and mortality rate were significantly higher in those with a SIRS score of two or above (p<0.001). In the multivariant analysis, the SIRS score was the only independent factor related to mortality.CONCLUSION:
The SIRS score is easily calculated on admission and may accurately predict mortality in patients with multiple traumas.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Traumatismos Torácicos
/
Traumatismo Múltiple
/
Estudios Retrospectivos
/
Mortalidad
/
Modelos Estadísticos
/
Síndrome de Respuesta Inflamatoria Sistémica
/
Servicio de Urgencia en Hospital
/
Inflamación
Tipo de estudio:
Estudio observacional
/
Estudio pronóstico
/
Factores de riesgo
Límite:
Humanos
Idioma:
Inglés
Revista:
The Korean Journal of Thoracic and Cardiovascular Surgery
Año:
2014
Tipo del documento:
Artículo
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