[Analysis of patients of multiple injuries with AIS-ISS and its clinical significance in the evaluation of the emergency managements].
230 consecutive cases of multiple injuries (1978-1990) were evaluated retrospectively with AIS-ISS; the overall mortality was 16.96% (39 deaths); and of the 51 cases with MSOF, the mortality rate was 49% (25 deaths), It is suggested: (1) The mortality rate was directly related to ISS. In case the ISS was > 50, the mortality rate would increase in two-folds. (2) Prehospital support, intensive care, timely operation, prevention of MSOF consisted to be the crucial problems of increasing the survival rate and would be the basic factors of AIS-ISS. (3) Other factors such as patients age, delayed transport, systemic organ function, misdiagnosis, faulty management and limitation of medical facilities would all take part in the lack of efficiency of ISS.
Dong
X R
XR
Hospital of Kailuan Bureau of Mineral Administration, Tang Shan.
D015998:Abbreviated Injury Scale; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D004630:Emergencies; D005260:Female; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D008875:Middle Aged; D009102:Multiple Organ Failure / Q000209:etiology / Q000401:mortality; D009104:Multiple Trauma / Q000150:complications / Q000401:mortality*; D012189:Retrospective Studies; D015996:Survival Rate