An evaluation of trauma scores (RTS, GAP, EMTRAS) on mortality in multiple trauma patients

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dc.contributor.authorBucak, Ali
dc.contributor.authorKarakus, Ali
dc.date.accessioned2024-09-18T20:33:01Z
dc.date.available2024-09-18T20:33:01Z
dc.date.issued2023
dc.departmentHatay Mustafa Kemal Ãœniversitesien_US
dc.description.abstractBackground: Emergency Trauma Score (EMTRAS), Revised Trauma Score (RTS) and Glasgow Age Pressure (GAP) are used to determine the patient status, and to predict the intervention and prognosis. Objectives: The aim of the present study was to evaluate the association between mortality and trauma severity scores (EMTRAS, RTS, and GAP) in multiple trauma patients. Methods: In this study, patients who had referred to the Emergency Department of Mustafa Kemal University Hospital due to multiple trauma within a one-year period were evaluated retrospectively. The hospital is located in the central district of Hatay, Antakya in the Republic of Turkey, 680 km from the capital, on the Syrian border. Its population is 1,5 million. Antakya is located as the central district of Hatay with population of 400,000. Demographic data, trauma type, nationality, vital parameters [pulse, peripheral oxygen saturation (SO2), respiratory count, systolic blood pressure (SBP), diastolic blood pressure (DBP)], physiological scoring systems (GCS, RTS, GAP and EMTRAS), and mortality states of the patients were reviewed. Data were analysed by SPSS 21, and the effect of current parameters on short-term (in the emergency service) and long-term (30 days) mortality was examined. Results: Three hundred and thirty-three multi-trauma patients were enrolled into the study. The median age of the patients was 31 (IQR: 22) years; 88.3% (294) of the patients were male. The exitus rate was detected as 7.8% in the emergency service and 26.4% within one month. GCS, RTS and GAP values of the patients who have died in the emergency service and within one month were significantly lower; however, the EMTRAS level was significantly higher in these patients (p<0.05). RTS and EMTRAS were detected as short- and long-term independent variables for mortality (p<0.05). After Receiver Operating Characteristic (ROC) analysis, the areas under the curve (AUC) of GCS, GAP, RTS and EMTRAS for short-term mortality were 0.861cm(2), 0.876 cm(2), 0.901cm(2) and 0,917cm(2), respectively; the AUC of such parameters for long-term mortality was detected 0.896cm(2), 0.904 cm(2), 0.914cm(2)and 0.899cm2, respectively. Conclusion: EMTRAS values were detected more significant parameters for short-term mortality whereas RTS was more significant for long-term mortality in multiple trauma patients. Such two scores may be useful to predict the patient prognosis along with GCS or solely.en_US
dc.identifier.doi10.48307/ATR.2023.175285
dc.identifier.endpage70en_US
dc.identifier.issn2251-953X
dc.identifier.issn2251-9599
dc.identifier.issue2en_US
dc.identifier.startpage63en_US
dc.identifier.urihttps://doi.org/10.48307/ATR.2023.175285
dc.identifier.urihttps://hdl.handle.net/20.500.12483/11264
dc.identifier.volume12en_US
dc.identifier.wosWOS:001093599000002en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.language.isoenen_US
dc.publisherKashan Univ Medical Sciencesen_US
dc.relation.ispartofArchives of Trauma Researchen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectMultiple traumaen_US
dc.subjectRTSen_US
dc.subjectGAPen_US
dc.subjectEMTRASen_US
dc.subjectMortalityen_US
dc.titleAn evaluation of trauma scores (RTS, GAP, EMTRAS) on mortality in multiple trauma patientsen_US
dc.typeArticleen_US

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