A prospective study of trauma patients at Gandhi Medical College and associated hospital emergency department, Bhopal, analysing anatomical and physiological scoring systems to predict mortality

Authors

  • Moorat Singh Yadav Department of General Surgery, Gandhi Medical College, Bhopal, Madhya Pradesh, India
  • Vibhore Agarwal Department of General Surgery, Gandhi Medical College, Bhopal, Madhya Pradesh, India
  • Surabhi Garg Department of General Surgery, Gandhi Medical College, Bhopal, Madhya Pradesh, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20170627

Keywords:

DALY, Glasgow Coma Scale, TRISS

Abstract

Background: Trauma, in a developing country like India, is a leader together with non-communicable diseases, when measured in terms of disability adjusted life years (DALYs) lost. Trauma scoring systems have been shown to decrease the number of preventable deaths caused by trauma. The aim of this study is to compare the various physiological and anatomical scoring systems.

Methods: Two hundred and sixty two cases of trauma of adult age group admitted in Gandhi Medical College and Hamidia Hospital, Bhopal, Madhya Pradesh, India from 1 July 2014 to 1 December 2014.

Results: Out of the 262 patients included in the study, 242 were discharged alive while 20 (7.6%) died. In our study, in of the patients who died it was observed that RTS was significantly low (<7) and ISS and TRISS were significantly high (>/=25 for ISS and >/=50 for TRISS).

Conclusions: Of all the scoring system TRISS has got the best sensitivity, specificity and positive predictive value of 83.3% and also miscalculation rate of 1.5 as per the MOTS norms as compared to RTS, which has sensitivity of 90% but low specificity, and ISS which has sensitivity and specificity comparable to TRISS but low positive predictive value.

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Published

2017-02-20

How to Cite

Yadav, M. S., Agarwal, V., & Garg, S. (2017). A prospective study of trauma patients at Gandhi Medical College and associated hospital emergency department, Bhopal, analysing anatomical and physiological scoring systems to predict mortality. International Journal of Research in Medical Sciences, 5(3), 871–875. https://doi.org/10.18203/2320-6012.ijrms20170627

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Original Research Articles