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Systemic inflammation response syndrome score predicts the mortality in multiple trauma patients.

Baek JH, Kim MS, Lee JC, Lee JH - Korean J Thorac Cardiovasc Surg (2014)

Bottom Line: Numerous statistical models have been developed to accurately predict outcomes in multiple trauma patients.Then, the outcomes between the two groups were compared.There were no significant differences in the general characteristics of patients, but the trauma severity scores were significantly different between the two groups.

View Article: PubMed Central - PubMed

Affiliation: Department of Thoracic and Cardiovascular Surgery, Yeungnam University College of Medicine.

ABSTRACT

Background: Numerous statistical models have been developed to accurately predict outcomes in multiple trauma patients. However, such trauma scoring systems reflect the patient's physiological condition, which can only be determined to a limited extent, and are difficult to use when performing a rapid initial assessment. We studied the predictive ability of the systemic inflammatory response syndrome (SIRS) score compared to other scoring systems.

Methods: We retrospectively reviewed 229 patients with multiple trauma combined with chest injury from January 2006 to June 2011. A SIRS score was calculated for patients based on their presentation to the emergency room. The patients were divided into two groups: those with an SIRS score of two points or above and those with an SIRS score of one or zero. Then, the outcomes between the two groups were compared. Furthermore, the ability of the SIRS score and other injury severity scoring systems to predict mortality was compared.

Results: Hospital death occurred in 12 patients (5.2%). There were no significant differences in the general characteristics of patients, but the trauma severity scores were significantly different between the two groups. The SIRS scores, number of complications, and mortality rate were significantly higher in those with a SIRS score of two or above (p<0.001). In the multivariant analysis, the SIRS score was the only independent factor related to mortality.

Conclusion: The SIRS score is easily calculated on admission and may accurately predict mortality in patients with multiple traumas.

No MeSH data available.


Related in: MedlinePlus

Mortality rate according to the systemic inflammatory response syndrome (SIRS) score, which was positively correlated with mortality. Values are presented as number (%).
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f3-kjtcvs-47-523: Mortality rate according to the systemic inflammatory response syndrome (SIRS) score, which was positively correlated with mortality. Values are presented as number (%).

Mentions: In total, 229 trauma patients presented between January 2006 and June 2011. Traffic accidents were the most common cause of trauma in both groups, and there was no overall difference across the types of trauma between the two groups (Table 1). In total, 173 patients were male (75.5%), 56 were female (24.5%), and complications occurred in 50 cases (21.8%). There were 12 deaths, resulting in a mortality rate of 5.2%. Trauma severity scores and general characteristics of all patients are shown in Table 2. The S2OA group had 66 patients (57 males and 9 females), and the S1OZ group had 163 patients (116 males and 47 females). There were no significant differences in the age, gender, past medical history, or length of emergency room stay between the S2OA and S1OZ group (Table 3). The trauma severity scores were significantly different between the two groups (Table 4). The complication and mortality rates were significantly higher for the S2OA group than for the S1OZ group (p<0.001). Lung contusions and flail chest were significantly more common in the S2OA group: 74.2% of the S2OA group had lung contusions compared to 36.2% of the S1OZ group (p<0.001), and 39.4% of the S2OA group had flail chest compared to 14.1% of the S1OZ group (p<0.001) (Fig. 2). Moreover, the SIRS score was positively correlated with mortality rate (Fig. 3). In the multivariant analysis that included the ISS, NISS, RTS, and SIRS scores, the SIRS score was the only independent factor for predicting mortality (Table 5).


Systemic inflammation response syndrome score predicts the mortality in multiple trauma patients.

Baek JH, Kim MS, Lee JC, Lee JH - Korean J Thorac Cardiovasc Surg (2014)

Mortality rate according to the systemic inflammatory response syndrome (SIRS) score, which was positively correlated with mortality. Values are presented as number (%).
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4279832&req=5

f3-kjtcvs-47-523: Mortality rate according to the systemic inflammatory response syndrome (SIRS) score, which was positively correlated with mortality. Values are presented as number (%).
Mentions: In total, 229 trauma patients presented between January 2006 and June 2011. Traffic accidents were the most common cause of trauma in both groups, and there was no overall difference across the types of trauma between the two groups (Table 1). In total, 173 patients were male (75.5%), 56 were female (24.5%), and complications occurred in 50 cases (21.8%). There were 12 deaths, resulting in a mortality rate of 5.2%. Trauma severity scores and general characteristics of all patients are shown in Table 2. The S2OA group had 66 patients (57 males and 9 females), and the S1OZ group had 163 patients (116 males and 47 females). There were no significant differences in the age, gender, past medical history, or length of emergency room stay between the S2OA and S1OZ group (Table 3). The trauma severity scores were significantly different between the two groups (Table 4). The complication and mortality rates were significantly higher for the S2OA group than for the S1OZ group (p<0.001). Lung contusions and flail chest were significantly more common in the S2OA group: 74.2% of the S2OA group had lung contusions compared to 36.2% of the S1OZ group (p<0.001), and 39.4% of the S2OA group had flail chest compared to 14.1% of the S1OZ group (p<0.001) (Fig. 2). Moreover, the SIRS score was positively correlated with mortality rate (Fig. 3). In the multivariant analysis that included the ISS, NISS, RTS, and SIRS scores, the SIRS score was the only independent factor for predicting mortality (Table 5).

Bottom Line: Numerous statistical models have been developed to accurately predict outcomes in multiple trauma patients.Then, the outcomes between the two groups were compared.There were no significant differences in the general characteristics of patients, but the trauma severity scores were significantly different between the two groups.

View Article: PubMed Central - PubMed

Affiliation: Department of Thoracic and Cardiovascular Surgery, Yeungnam University College of Medicine.

ABSTRACT

Background: Numerous statistical models have been developed to accurately predict outcomes in multiple trauma patients. However, such trauma scoring systems reflect the patient's physiological condition, which can only be determined to a limited extent, and are difficult to use when performing a rapid initial assessment. We studied the predictive ability of the systemic inflammatory response syndrome (SIRS) score compared to other scoring systems.

Methods: We retrospectively reviewed 229 patients with multiple trauma combined with chest injury from January 2006 to June 2011. A SIRS score was calculated for patients based on their presentation to the emergency room. The patients were divided into two groups: those with an SIRS score of two points or above and those with an SIRS score of one or zero. Then, the outcomes between the two groups were compared. Furthermore, the ability of the SIRS score and other injury severity scoring systems to predict mortality was compared.

Results: Hospital death occurred in 12 patients (5.2%). There were no significant differences in the general characteristics of patients, but the trauma severity scores were significantly different between the two groups. The SIRS scores, number of complications, and mortality rate were significantly higher in those with a SIRS score of two or above (p<0.001). In the multivariant analysis, the SIRS score was the only independent factor related to mortality.

Conclusion: The SIRS score is easily calculated on admission and may accurately predict mortality in patients with multiple traumas.

No MeSH data available.


Related in: MedlinePlus