Yoğun Bakım Ünitesinde Takip Edilen Kafa ve Göğüs Travması Hastalarında Mortalite Oranı Tahmin Edilebilir mi?

Abstract

Objective: The aim of this study is to evaluate the patients who are followed up with a diagnosis of head and chest trauma; to investigate the revised trauma score, the simplified acute physiology score, and various biochemistry parameters and to reveal the role of these values on mortality rates.Methods: Our study is an observational cohort study that retrospectively examines head, and thoracic trauma patients followed in the university hospital ICU, based on the hospital database. Data of trauma patients who were treated consecutively in the ICU of a tertiary hospital between June 2016 and June 2017 were recorded. Patients were divided into two groups as mortality and living. Demographic data of the patients simplified acute physiology score (SAPS II) and revised trauma score (RTS), length of stay in mechanical ventilation and intensive care unit, mortality rates, admission Glasgow coma score (GCS), hemodialysis requirements during follow-up, first post-ICU admission Nutritional status and various biochemistry parameters admitted to intensive care unit were evaluated within 48 hours.Results: In our study, 28-day mortality rates were found to be higher in patients with head and chest trauma, those who underwent hemodialysis treatment (p = 0.0016), were intubated, followed by mechanical ventilation (p <0.001), and fed parenterally. Patients with 28-day mortality rates, simplified acute physiology score (SAPS) 2 (p <0.001), length of stay in the ICU (p = 0.009), high mechanical ventilation duration (p <0.001), and those with increased serum creatinine and glucose levels found high. In patients with a high 28-day mortality rate, GCS, RTS, and serum albumin levels were found to be significantly lower. Conclusion: We think that RTS, GCS, and serum albumin levels may be useful markers to estimate the mortality rates of head and chest trauma patients.