The relationship between Injury Severity Scores and transfusion requirements of 108 consecutive cases injured with high kinetic energy weapons: a tertiary center end-mode mortality analysis

Eryılmaz, Mehmet; Tezel, Onur; Taş, Hüseyin; Arziman, Ibrahim; Öğünç, Gökhan İbrahim; Kaldirim, Umit; Durusu, Murat; Kozak, Orhan

doi:10.5505/tjtes.2014.90490

Cited by 6 publications

(7 citation statements)

References 16 publications

(21 reference statements)

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“…Low GCS (especially <5), low RTS and ISS higher than 16 (especially 16-75) have been found to be linked to high mortality rates. [10][11][12][13][18][19][20][21] Some recent studies indicate that in numerous patient groups, evaluating ISS scores of 25-75 showing critical injury in two parts of ISS 25-48 and 50-75 would be more useful. [22] Similarly to the finding in literature, our studye found the GCS and RTS scores and TRISS levels of exitus patients to be significantly low and their ISS levels to be significantly high (GKS: 3.5, ISS: 57.7, TRISS survival for penetrating trauma: 5.8).…”

Section: Discussionmentioning

confidence: 99%

“…The Glasgow Coma Scale (GCS), Revised Trauma Score (RTS), Injury Severity Score (ISS), and the Trauma and Injury Severity Score (TRISS) probability of survival for blunt trauma and penetrating trauma were calculated for all patients. The extent of injury was graded according to the ISS as: mild (1)(2)(3)(4)(5)(6)(7)(8), moderate (9)(10)(11)(12)(13)(14), severe (15)(16)(17)(18)(19)(20)(21)(22)(23)(24) and critical (≥25). [2] In the present study, the evaluated parameters included mechanism of injury, results and types of diagnostic imaging, modality of treatment, consulted departments, hospitalization ratio, length of stay and complication rate and type.…”

Section: Methodsmentioning

confidence: 99%

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Evaluation of Gunshot Wounds in the Emergency Department

Karaca

Kartal

Erbil

et al. 2015

Ulus Travma Acil Cerrahi Derg

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Evaluation of Gunshot Wounds in the Emergency Department

Karaca

Kartal

Erbil

et al. 2015

Ulus Travma Acil Cerrahi Derg

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“…[32] A low GCS (especially <5), low Revised Trauma Score (RTS), and a high ISS (especially >16) has been reported to be associated with high mortality in clinical trials examining the GCS, ISS, and RTS. [33][34][35] In our study, the mean ISS was 63.11 in patients who did not survive and 10.17 in patients who survived. The ISS values were found to be significantly higher in patients who died, which is in accordance with the literature.…”

Section: Discussionmentioning

confidence: 90%

In the firearm injuries cases, the effect of correlation between injury severity score (ISS), vital scores, and hemogram values over mortality.

Turan

Eryılmaz²,

Albuz³

2018

Ulus Travma Acil Cerrahi Derg

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BACKGROUND: Several scoring systems have been and continue to be developed in numerous countries with the goal of quickly and accurately assessing the severity of trauma injuries. The aim of this study was to identify factors that help to determine the gravity of damage and to minimize it, in order to reduce mortality and morbidity. It is important that the criteria set for the determination of the severity of trauma are objective, measurable, and comparable. This study was an assessment of the contribution of vital signs, hemogram values, and trauma severity scores recorded at initial admission in the prediction of mortality in patients with firearm trauma wounds. METHODS:This was a retrospective cohort study. Patients with gunshot injuries who were admitted to the emergency department (ED) of a single facility between December 2015 and March 2016 were included in the study. Statistical software was used to perform bivariate analyses using a t-test or the Mann-Whitney U test for continuous variables, depending on the distribution of variables, and logistic regression analysis was utilized to determine independent predictors of mortality after ED admission. A p value of <0.05 was considered statistically significant. RESULTS:A total of 418 patients were included. A statistically significant difference was found between the white blood cell count, respiratory rate, Glasgow Coma Scale score, Abbreviated Injury Scale score, and the Injury Severity Score (ISS) of the patients who survived and those who died (p<0.05). The analysis also indicated that a systolic blood pressure below 90 mmHg and a heart rate above 100 beats/minute were independent variables in terms of the expectation of mortality. CONCLUSION:The objective assessment of the ISS at admission to the ED is an important element in the calculation of hemoglobin requirements, mortality, and morbidity.

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“…This leads to an increased number of injured organs and extremity injuries throughout the body and explains why explosives increase mortality rates more than bullets. Blood loss amounts and ISS come to the forefront in studies examining the factors affecting mortality in combat injuries (14).…”

Section: Discussionmentioning

confidence: 99%

Injury mechanisms and injury severity scores as determinants of urban terrorism-related thoracoabdominal injuries

Öztürk¹,

Şenocak²,

Kaymak³

et al. 2022

Turk J Surg

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Objective: Improving the care of injuries resulting from terrorist attacks requires understanding injury mechanisms in armed conflicts. The aim of this study was to identify injury characteristics in military personnel with thoracoabdominal combat injuries resulting from terrorist attacks in urban settings. Material and Methods: A retrospective study of military personnel with thoracoabdominal injuries who were referred to a tertiary center after treating and stabilizing at a primary healthcare organization due to terror-related injuries in various urban regions of Turkey between June 2015 and December 2016 was performed. Results: A total of 70 patients were included in this study, of whom 87.1% were injured by explosives and 12.9% (n= 9) had gunshot wounds (GSWs). Mean injury severity score (ISS) was 21, blood transfusion amount was 3.7 units, and mortality rate was 8.5%. Patients injured by explosives had most commonly abdominal and extremity injuries (31.1%), whereas isolated abdominal injuries (55.6%) were observed among patients with GSWs. There were no significant differences between the mechanisms of injuries and the ISS, blood transfusion, and mortality (p= 0.635, p= 0.634, and p= 0.770, respectively). A significant correlation was observed between the ISS and transfusion amounts (r= 0.548, p< 0.001). Mortality was significantly higher in those with a high ISS and those undergoing massive blood transfusions (p= 0.004 and p< 0.001, respectively). Conclusion: Explosive injuries, concomitant vascular injuries, high ISS, and the need for massive transfusions increased the mortality rate in urban combat injuries. To quickly identify high-risk patients and improve the care of injuries, it is essential to use predictive models or scoring systems.

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The relationship between Injury Severity Scores and transfusion requirements of 108 consecutive cases injured with high kinetic energy weapons: a tertiary center end-mode mortality analysis

Cited by 6 publications

References 16 publications

Evaluation of Gunshot Wounds in the Emergency Department

Evaluation of Gunshot Wounds in the Emergency Department

In the firearm injuries cases, the effect of correlation between injury severity score (ISS), vital scores, and hemogram values over mortality.

Injury mechanisms and injury severity scores as determinants of urban terrorism-related thoracoabdominal injuries

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