Türk Yoğun Bakim Derneği Dergisi (Dec 2022)
Retrospective Investigation of Patients with Multitrauma in the Intensive Care Unit
Abstract
Objective:Scoring systems can be used to determine the severity of injury, triage, and create epidemiological data. This study evaluated the performance of scoring systems.Materials and Methods:A total of 130 patients who are admitted to the intensive care unit (ICU) with multitrauma diagnosis were included in the study. The demographic characteristics of patients, length of stay in mechanical ventilation and ICU, mortality rates, and scores from scoring systems were calculated and recorded.Results:When the relationship between the age groups of patients and mortality was examined, a statistically significant difference was found in the mortality rate in patients >65 years of age (65.2%), in patients 18-65 years of age (36.7%), and in patients <18 years of age (23.5%), which was found to be higher. The Glasgow coma scale/score (GCS), revised trauma score (RTS), acute physiology and chronic health evaluation-II (APACHE-II), trauma injury severity score (TRISS), injury severity score (ISS), simplified acute physiology score II (SAPS II), extended SAPS II, and sequential organ failure assessment (SOFA) scores in the average of living patients were 9.94±4.09, 5.95±1.34, 11.46±6.18, 20.30±7.45, 14.86±10.20, 24.27±15.33, 3.98±1.34, 4.81±1.52, respectively, whereas the mean scores of patients with mortality were 5.40±2.19, 2.95±0.70, 31.96±6.79, 40.19±9.51, 43.60±16.95, 62.73±13.96, 5.69±1.88, 6.54±4.20, respectively. The average length of stay in the ICU was 11.55±16.12 days.Conclusion:When the scoring systems used in the ICU are compared, the GCS, RTS, TRISS, APACHE-II, SAPS II, and broad SAPS II can be used as a predictor of mortality; however, a meaningful result could not be obtained between the SOFA score and mortality prediction. Our study results revealed that scoring systems are efficient in predicting the duration of stay in the ICU and mechanical ventilation.
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