Anatomical-functional scale of estimation of the trauma severity in wounded persons with thoracoabdominal injuries in environment of conduction of The Joint Armed Forces Operation

Abstract

Objective. To determine the trustworthiness of the elaborated anatomic-functional scale for the trauma severity estimation (Admission trauma scale) in the wounded persons with thoraco-abdominal injuries, evacuated on the level II medical service. Materials and methods. Retrospective analysis was conducted, concerning 123 wounded persons with the gun-shot thoraco-abdominal injuries, obtained while conduction of The Joint Forces Operation. The trauma severity was determined in accordance to anatomic-functional scale (Admission trauma scale). Results. Statistical analysis was conducted concerning the point characteristic estimation in accordance to anatomic-functional scale of the general massive of the observation. Estimation in accordance to anatomic-functional scale for the wounded persons, who have survived, constituted at average (6.9 ± 2) points, while for the wounded persons, who have died, – (12.4 ± 15) points. Then, a value of the confidence interval was determined in accordance to formula M ± 3δ. Of 123 wounded persons with thoraco-abdominal injuries in 107 (87%) the state of severity estimation in accordance to anatomic-functional scale did not cross the interval of trustworthiness borders. Conclusion. Anatomic-functional scale for the trauma severity estimation permits to determine the organization of treatment peculiarities in the surgical help delivery on initial stages of medical evacuation, and, taking into account of this procedure simplicity, its application is possible without application of additional methods of examination.

Keywords

• thoraco-abdominal injuries; estimation of the trauma severity; traumatic shock; anatomic-functional scale of estimation of the trauma severity (admission trauma scale).