Naslov
Multiple injuries in peacetime and wartime estimate of severity of injury by the Injury severity score and Polytraumaschluessel

Autori
Korać, Želimir ; Krajačič, Ivan ; Hančević, Janko ; Marušić, Zrinka

Izvornik
European journal of surgery (1102-4151) 164 (1998); 563-567

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
war; traffic accident; scoring system; mortality; comparative study

Sažetak
Objective: To compare the Injury Severity Score (ISS) and Ploytraumaschluessel (PTS) in patients with multiple peacetime and wartime injuries. Design: Prospective and retrospective study. Settings: General hospital, Croatia. Subjects: 71 patients with multiple injuries admitted between 1 January 1993 and 30 September 1994; 41 had peacetime (road traffic accident) injuries and 30 had been injured in battle. Interventions: ISS and PTS scores. Main outcome measure: Correlation of scores with morbidity and mortality. Results: All patients with war time injuries were men, compared with 30/41 (73%) of those wit peacetime injuries (p<0.0001).Those with wartime injuries were slightly but not significant younger (mean 35 years, range 17-69, compared with 44 years (range 17-87). Mortality was higher among those with peacetime injuries, but not significantly so (11/41 compared with 5/30, p=0.39). The two scores correlated well for all injuries (r=0.76), and peacetime (r=0.71) and wartime injuries (r=0.84) separately (all correlations p<0.0001). In both groups, patients who subsequently died scored significantly higher with both scores (p<0.001). Conclusions: The two scores were equally good at describing the severity of injury, and the likehood of subsequent death, however the injuries were caused.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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