ISSN: 1859 - 2872
The value of some clinical and subclinical factors for predicting mortality in polytrauma
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Abstract
Objective: To determine the value of some clinical and subclinical factors for predicting mortality in polytrauma. Subject and method: A descriptive study of polytrauma patients admitted to the Intensive Care Center, 108 Military Central Hospital from January 2023 to August 2023. Result: There were 95 eligible polytrauma patients, the average age was 36.7 ± 17.2, 83.2% were men, the main cause was traffic accidents. The mortality rate was 27.4%, of which the death group had more traumatic brain injuries, cervical spine and maxillofacial injuries, while fewer abdominal injury than the survival group. ISS score (Injury Severity Score) and blood lactate concentration had independent value in predicting mortality. ISS cutoff score of 40 points predicted mortality with a sensitivity of 57.7%, and specificity of 91.3%. The lactate concentration cutoff point of 3.9ng/ml predicted mortality with a sensitivity of 80.8% and a specificity of 60.9%. Conclusion: Polytrauma is common in young men, with a high mortality rate. Patients with high ISS scores, increased blood lactate concentration, head and neck lesions have a higher risk of death. ISS score and blood lactate concentration have independent value in predicting mortality.
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References
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