Abstract
An: 2012, Nr.2, Articol Nr. 23
Title: 

EVALUATION OF TRAUMA CARE QUALITY IN PELVIC FRACTURE ASSOCIATED ABDOMINAL TRAUMA USING PREDICTIVE SCORES

Authors: 

      Á. Török, Ş. Bancu, M. Mureşan, T. Kántor, A. Suciu - University of Medicine and Pharmacy of Târgu-Mureş, 2nd Surgical Clinic Târgu-Mureş
      Ö. Nagy - University of Medicine and Pharmacy of Târgu-Mureş, 2nd Orthopaedics and Traumatology Clinic Târgu-Mureş
      EVALUATION OF TRAUMA CARE QUALITY IN PELVIC FRACTURE ASSOCIATED ABDOMINAL TRAUMA USING PREDICTIVE SCORES (Abstract): Introduction: Trauma is an important cause of death and morbidity among population during the first four decades of life. The purpose of this study is to evaluate the effectiveness of treatment of patients with combined abdomino-pelvic lesions using the TRISS and ASCOT predictive scores. Patients and methods: The study included polytraumatized patients with abdominal and pelvic lesions, with hemodynamic instability or signs of acute abdomen who required emergency laparotomy. Between 2001 and 2010 413 patients underwent surgery for abdominal trauma, 8,7% of the cases (n=36) were associated with pelvic fracture. To calculate the predictive scores we obtained exact parameters in only 29 cases. The mean age was 47 years (range 20-80 years). Results: 13 patients died, giving an overall mortality rate of 44,8%. The probability of survive calculated by TRISS was 62,3% and probability of death calculated using ASCOT was 30,2%. The quality of care was evaluated with W score. The W score was -6,8 (p=0.0005) in TRISS predictive model and -14,8 (p=0.009) in ASCOT predictive model. Conclusion: The massive haemorrhage is the most common cause of death in severe polytrauma associated with pelvic fracture. Comparing predictive model scores and actual treatment success we can appreciate the quality of care.
Key words: ABDOMINAL INJURIES, PELVIC FRACTURE, ASCOT, TRISS
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