Evaluation of revised trauma score in polytraumatized patients

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
Hafiz Naweed Ahmad

Abstract

To determine the prognostic value and reliability of revised trauma score (RTS) in polytraumatized patients. Descriptive study. The study was conducted at Nishtar Hospital Multan From August 1999 to January 2001. Thirty adult patients of road traffic accidents sustaining multisystem injuries due to high energy blunt trauma were managed according to the protocols of advanced trauma life support (ATLS) and from their first set of data RTS was calculated. Score of each patient was compared with his final outcome at the time of discharge from the hospital. The revised trauma score was found to be a reliable predictor of prognosis of polytraumatized patients but a potentially weak predictor for those patients having severe injury involving a single anatomical region. The higher the RTS the better the prognosis of polytrauma patient and vice versa. Revised trauma score < 8 turned out to be an indicator of severe injury with high mortality and morbidity and overall mortality in polytraumatized patients was 26.66%. However, RTS-6 was associated with 50% mortality. The revised trauma score is a reliable indicator of prognosis of polytraumatized patients. Therefore, it can be used for field and emergency room triage.

Citations

Mar 23, 2011·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Marius RehnHans Morten Lossius

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