Medicinski vjesnik, Vol. 30 No. (3-4), 1998.
Stručni rad
The impact of age, severity and localisation of injuries on the intrahospital mortality of polytraumatised patients
Ivan Krajačić
Želimir Korać
Josip Žunić
Nataša Šimić- Korać
Sažetak
The authors analyse localisation and severity of injuries as well as intrahospital mortality of polytraumatised patients treated at the Department of Surgery and Intensive Therapy Unit, General Hospital, Karlovac. Most of the injured suffered in traffic accidents (85.4%). Eleven (26.8%) patients died, out of forty-one. The mean followup for survived patients was 3 years and 8 moths, in which period three of them (7.3%) died. The severity of the dominant injury was assessed by Abbreviated Injury Scale (AIS), and the severity of all injuries by Injury Severity Score (ISS). The patients who died were older (p=0.07) and the difference between severity of the dominant as well as severity of all injurie in the groups of survived vs. deceased patients was significant (p=0.001). Localisation of the dominant injury had no impact on the outcome. The difference between localisations of all relevant injuries expressed by body areas between groups is statistically significant. The prediction of lethal outcome expressed by ISS showed that patients with ISS of 33 or higher have a great possibility of lethal outcome (specificity 72.7%, sensitivity 96.7%, efficiency 90.2%). ISS can be usefully used in prediction of outcome in injured patients on the level of intrahospital mortality.
Ključne riječi
age; localisation of injuries; intrahospital mortality; polytraumatised patients
Hrčak ID:
192362
URI
Datum izdavanja:
1.12.1998.
Posjeta: 1.283 *