Sestrinski glasnik, Vol. 27 No. 3, 2022.
Original scientific paper
https://doi.org/10.11608/sgnj.27.3.2
Injury severity scoring protocols as predictors of outcome for polytrauma patients
Ademir Spahić
orcid.org/0000-0001-5527-8278
; Dom zdravlja Sarajevo, Vrazova 11, 71 000 Sarajevo, Bosna i Hercegovina
Hadžan Konjo
; Studijski program “Zdravstvena njega”, Fakultet zdravstvenih studija, Univerzitet u Sarajevu, Stjepana Tomića 1, 71 000 Sarajevo, Bosna i Hercegovina
Abstract
Introduction: The severity of the injury is assessed against many scales, which use a sum of scores (numerical systems), injury facts, and experience to assess the severity of injuries. The AIS (Abbreviated Injury Scale) ranks injuries from 1 to 6, 1 being minor injuries and 6 being maximal injuries. It is not designed to predict survival and uses consensus-based scores determined by experts. The Injury Severity Score (ISS) assigns scores to the injuries of a trauma patient with whole-body multiple injuries. This paper aims to determine the predictive values of the existing scale of injuries on the ISS scale.
Methods: The sample included 84 patients of both sexes and from all age groups, who were monitored over one year. The subjects had multiple penetrating and non-penetrating injuries, and included those whose vital parameters were stabilized and whose diagnostics were conducted according to the protocol in the Emergency Medicine Clinic regardless of the outcome. The formula used to convert AIS to ISS gradation protocol score was applied.
Results: The subjects were aged 40 ± 17.6 years on average, most of whom male; road accidents were the predominant mechanism of injury. The ISS increases with the severity of injuries. The proportion of patients with a CCC score ≤14 had a positive predictive value different from the ISS. The proportion of subjects with polytrauma who had a CCC score = 15 and an ISS <15 had a negative predictive value.
Conclusion: It was found that there was a difference in reliability between the CCC and ISS systems in determining the levels of severity of conditions in patients treated at the Critical Care Clinic.
Keywords
polytrauma; trauma scoring systems; ISS; CCC
Hrčak ID:
286959
URI
Publication date:
12.12.2022.
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