title: The utility of the predictive scores in polytrauma with abdomino-pelvic injuries: a series of 38 patients.
abstract: Trauma is the principal cause of mortality among the population under 40 years. The aim of our study was to compare predictive trauma scores and demonstrate their utility in the evaluation of the quality of care in polytrauma.
  
  
  METHODS
  A retrospective study was performed between 2000-2011 including polytrauma patients with abdominal lesions and pelvic fracture who under went emergency laparotomy. We calculated ISS, GCS, RTS,TRISS, ASCOT trauma scores and W score for evaluation of treatment quality.
  
  
  RESULTS
  We obtained the necessary data to calculate the predictive scores in 38 cases. Comparing the scores of the survivals and non-survivals we noted the following regarding mortality predictive scores: GCS 13.74 vs. 6.13 (p 0.0001),ISS 28.52 vs. 35 (p=0.0169), RTS 6.96 vs. 3.07 (p 0.0001),TRISS 84.67% vs. 28.7% (p 0.0001), ASCOT 10.34% vs.64.32% (p 0.0001). The W score in TRISS and ASCOT methodology was -2.05 (p=0.7997) and -7.81 (p=0.336),respectively. There was no statistically significant difference between actual and predicted mortality, the former being 39.47%.
  
  
  CONCLUSIONS
  We did not observe differences between the two methodologies TRISS and ASCOT in mortality prediction (p=0.5401). Both of them can be used to predict polytrauma patient evolution. The W score is useful in treatment quality assessment.
authors: Á
authors: Á
authors: Török
authors: Ş
authors: Ş
authors: Bancu
authors: R
authors: R
authors: Neagoe
authors: M
authors: M
authors: Mureşan
authors: T
authors: T
authors: Kántor
authors: A
authors: A
authors: Suciu
authors: K E
authors: KE
authors: Vas
authors: Ö
authors: Ö
authors: Nagy
mesh_terms: D000007:Abdominal Injuries / Q000175:diagnosis / Q000209:etiology / Q000401:mortality* / Q000601:surgery; D000328:Adult; D013505:Digestive System Surgical Procedures; D004638:Emergency Treatment / Q000379:methods; D005260:Female; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000209:etiology / Q000401:mortality* / Q000601:surgery; D006801:Humans; D015601:Injury Severity Score; D007813:Laparotomy; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000175:diagnosis / Q000209:etiology / Q000401:mortality* / Q000601:surgery; D019637:Orthopedic Procedures; D010384:Pelvic Bones / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*; D011237:Predictive Value of Tests; D011379:Prognosis; D011859:Radiography; D015203:Reproducibility of Results; D012189:Retrospective Studies; D016019:Survival Analysis; D016896:Treatment Outcome