title: [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].
abstract: BACKGROUND
  We aimed in this study to investigate the relationship between Injury Severity Score (ISS) and transfusion strategies required during medical intervention in patients wounded by high kinetic energy (HKE) gunshot, and to analyze end-mode mortality.
  
  
  METHODS
  The medical data of patients were included in the study. We evaluated whether there was any significant correlation in terms of demographic characteristics, HKE weapon type, ISSs, and transfusion strategy options and transfusion requirements.
  
  
  RESULTS
  Causes of mortality in cases resulting in mortality during hospitalization were evaluated. One hundred and eight consecutive patients were included in the study. All patients except one were male, with an average age of 25 years. 64.8% of them were injured by long-barreled firearms, whereas 35.2% were injured by explosives. Average ISS was 13.9. ISS values for the patients with and without transfusion were 16 (5-48) and 9 (3-36), respectively. Causes of mortality were evaluated in terms of systemic inflammatory response syndrome (SIRS), sepsis, and multiorgan dysfunction syndrome (MODS).
  
  
  CONCLUSIONS
  It was determined that there was a significant correlation between increase in ISS values in cases with HKE weapon wounds and their transfusion requirements, whereas this requirement was independent of the ISS value in cases with explosive wounds.
authors.affiliation: Department of Emergency Medicine, Gülhane Military Medicine Faculty, Ankara, Turkey. mehmeteryilmaz@hotmail.com.
authors.forename: Mehmet
authors.initials: M
authors.lastname: Eryılmaz
authors.affiliation: Department of Emergency Medicine, Gülhane Military Medicine Faculty, Ankara, Turkey.
authors.forename: Onur
authors.initials: O
authors.lastname: Tezel
authors.affiliation: Department of General Surgery, Gülhane Military Medicine Faculty, Ankara, Turkey.
authors.forename: Hüseyin
authors.initials: H
authors.lastname: Taş
authors.affiliation: Department of Emergency Medicine, Gülhane Military Medicine Faculty, Ankara, Turkey.
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Arzıman
authors.affiliation: Turkish National Police Directorate, Criminal Police Laboratory, Ankara, Turkey.
authors.forename: Gökhan Ibrahim
authors.initials: GI
authors.lastname: Oğünç
authors.affiliation: Department of Emergency Medicine, Gülhane Military Medicine Faculty, Ankara, Turkey.
authors.forename: Umit
authors.initials: U
authors.lastname: Kaldırım
authors.affiliation: Department of Emergency Medicine, Gülhane Military Medicine Faculty, Ankara, Turkey.
authors.forename: Murat
authors.initials: M
authors.lastname: Durusu
authors.affiliation: Department of General Surgery, Gülhane Military Medicine Faculty, Ankara, Turkey.
authors.forename: Orhan
authors.initials: O
authors.lastname: Kozak
mesh_terms: D000293:Adolescent; D000328:Adult; D001803:Blood Transfusion / Q000379:methods*; D005260:Female; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D008875:Middle Aged; D014948:Wounds, Gunshot / Q000473:pathology* / Q000628:therapy*; D055815:Young Adult