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5 results on '"Trauma Severity Indexes"'

1. Ten years of new injury severity score (NISS): is it a possible change? Diez años del new injury severity score (NISS): ¿Cambio posible? Dez anos de new injury severity score (NISS): possível mudança?

Author

Lilia de Souza Nogueira, Cristiane de Alencar Domingues, Miriam de Araújo Campos, and Regina Márcia Cardoso de Sousa

Subjects
índices de gravedad del trauma, puntaje de gravedad del traumatismo, heridas y traumatismos, índices de gravidade do trauma, escala de gravidade do ferimento, ferimentos e lesões, trauma severity indexes, injury severity score, wounds and injuries, Nursing, RT1-120
Abstract

The article is a bibliographic review which intends to present the actual range of researches comparing the Injury Severity Score (ISS) and the New Injury Severity Score (NISS). Databases were searched using the keyword NISS, with 42 articles, 23 of which didn't compare the two indexes. Most part of the 19 selected articles showed that NISS has been more accurate in predicting the outcomes (dependent variables) than ISS, moreover in severe and specific trauma. Studies with populations between 1,000 and 10,000 resulted in NISS-favorable results, whereas studies with populations larger than 10,000 or smaller than 1,000 showed either NISS-favorable results or no difference between the two groups. However, there were no studies showing ISS-favorable results. These results and the easier calculation of NISS lead to a future replacement of ISS by NISS.Estudio de revisión bibliográfica cuyo objetivo es presentar el panorama sobre investigaciones que utilizan el Injury Severity Score (ISS) en comparación con el New Injury Severity Score (NISS). Las búsquedas fueron realizadas en las bases de datos, utilizando el término NISS. Encontrados 42 artículos, 23 de los cuales no realizaron la comparación de los índices en cuestión. Gran parte de los 19 artículos seleccionados, encontraron que el NISS al ser comparado, mostró una mejor relación con los resultados del ISS, principalmente en lesiones graves y específicas. Para estudios cuyas muestras variaron entre 1.000 y 10.000 casos, se observaron resultados favorables para el NISS. Muestras superiores a 10.000 e inferiores a 1.000 mostraron tanto preferencia como igualdad para el NISS. En ningún estudio el ISS superó al NISS, para el caso del diagnósticos de situaciones analizadas. Estas observaciones y un mejor cálculo del NISS frente al ISS, parecen indicar la futura substitución del ISS por el NISS.Trata-se de revisão bibliográfica, cujo objetivo é apresentar o panorama das pesquisas que utilizam o New Injury Severity Score (NISS) e que o comparam com o Injury Severity Score (ISS). Foram realizadas buscas em bases de dados utilizando-se o termo NISS. Foram localizados 42 artigos, 23 não comparavam os índices em questão. A maioria dos 19 artigos selecionados afirmou que NISS se relacionou melhor com os resultados do que o ISS, principalmente em ferimentos graves e específicos. Em estudos, cuja amostra variou de 1.000 a 10.000 casos, observou-se resultado favorável ao NISS; amostras maiores que 10.000 e menores que 1.000 indicaram ora preferência ao NISS, ora igualdade. Em nenhum estudo o ISS superou o NISS para prever os eventos analisados. Essas observações e maior facilidade do cálculo do NISS em relação ao ISS direcionam a futura substituição do ISS pelo NISS.

Published
2008
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2. Traumatismo torácico por arma blanca

Author

González L., Roberto, Riquelme U., Alejandra, Toloza A., Claudio, Reyes M., Rodrigo, Seguel S., Enrique, Stockins L., Aleck, Jadue T., Andrés, Ávalos T., Matías, Barra M., Sebastián, Alarcón O., Felipe, and Alarcón C., Emilio

Subjects
penetrating wounds, agresión, trauma severity indexes, thoracic injuries, traumatismos torácicos, aggression, cirugía torácica, puntaje de gravedad del traumatismo, thoracic surgery, heridas penetrantes
Abstract

Resumen Objetivos Describir las características, índices de gravedad de traumatismo (IGT), morbilidad, mortalidad y factores asociados a mortalidad en pacientes hospitalizados por traumatismo torácico por arma blanca (TTAB). Materiales y Método Estudio analítico transversal. Período enero de 1981 a diciembre de 2017. Revisión base de datos prospectiva, protocolos quirúrgicos, fichas clínicas. Se describe y compara las características de los TTAB. Se calculó IGT: Injury Severity Score (ISS), Revised Trauma Score ( RTS-T) y Trauma Injury Severity Score (TRISS). Resultados Total 4.163 pacientes hospitalizados por TT, 2.286 hospitalizados por TTAB. Hombres: 2.131 (93,2%), edad promedio 27,8 ± 10,7 años, TTAB aislado 2.035 (89,0%), asociado a lesiones extratorácicas 251 (11,0%) y de éstos 124 (5,5%) se consideraron politraumatismos. Mecanismos principales del traumatismo: agresión 2.246 (98,3%) y autoagresión 22 (1,0%). Lesiones y hallazgos torácicos más frecuentes: neumotórax 1.473 (64,4%), hemotórax 1.408 (61,6%), enfisema subcutáneo 485 (21,2%). Tratamiento definitivo: pleurotomía 1.378 (60,3%), cirugía torácica 537 (23,5%) y tratamiento médico 370 (16,2%). Hospitalización promedio 6,2 ± 6,5 días, IGT: ISS promedio 10,9 ± 7,2, RTS-T promedio 11,6 ± 1,4 y TRISS promedio 3,6. Morbilidad: 318 (13,9%). Mortalidad: 32 (1,4%). Conclusión Los TTAB ocurren frecuentemente en hombres jóvenes por agresión. La mayoría se puede tratar con pleurotomía exclusiva. Aim Our objectives are to describe and correlate the clinical characteristics, trauma severity indexes (TSI) and morbidity and mortality in patients hospitalized for thoracic trauma by a bladed weapon (TTBW). Materials and Method Transversal analytic study. Period January-1981 to December-2017. Prospective database review, surgical protocols, clinical files. The characteristics of the TTBW are described and compared. Injury Severity Score (ISS), Revised Trauma Score (RTS-T) and Trauma Injury Severity Score (TRISS) were calculated. Results Total of 4,163 patients hospitalized for TT, 2,286 hospitalized for TTBW. Men: 2,131 (93.2%), average age 27.8 ± 10.7 years, isolated TTBW 2,035 (89.0%), associated with extra thoracic injuries 251 (11.0%) and of these 124 (5.5%) were considered polytrauma. Main mechanisms of trauma: Aggression 2,246 (98.3%) and self-aggression 22 (1.0%). Most frequent injuries and thoracic findings: pneumothorax 1,473 (64.4%), hemothorax 1,408 (61.6%), subcutaneous emphysema 485 (21.2%). Definitive treatment: Pleurotomy 1,378 (60.3%), thoracic surgery 537 (23.5%) and medical treatment 370 (16.2%). Average hospital stay: 6.2 ± 6.5 days. ISS average 10.9 ± 7.2, RTS-T average 11.6 ± 1.4 and TRISS average 3.6. Morbidity: 318 (13.9%). Mortality: 32 (1.4%). Discussion TTBW are frequent in our environment, unlike on an international level. Conclusions TTBW frequently occur in young male patients due to aggression. The majority can be treated with exclusive pleurotomy.

Published
2020

3. Traumatismo torácico: caracterización de hospitalizaciones durante tres décadas

Author

Alberto Fuentes E, Rodrigo Reyes M., Enrique Seguel S, Emilio Alarcón C, René Saldías F, Alejandra Riquelme U., Roberto González L, Andrés Jadue T, Aleck Stockins L, and Jorge Canales Z

Subjects
medicine.medical_specialty, Trauma Severity Indices, Thoracic Injuries, business.industry, Multiple Trauma, Medical record, Trauma Severity Indexes, Significant difference, Thoracic Surgery, 030208 emergency & critical care medicine, General Medicine, Revised Trauma Score, 03 medical and health sciences, 0302 clinical medicine, 030228 respiratory system, Cardiothoracic surgery, Internal medicine, Medicine, Injury Severity Score, Wounds and Injuries, Young adult, business, Cause of death
Abstract

Background: Trauma is the leading cause of death in young patients and thoracic trauma (TT) is responsible for 25-35% of trauma deaths. Aim: To describe and compare features, trauma severity indexes and morbidity of patients admitted for TT in the past three decades. Material and Methods: Review of a TT database, operative notes and medical records of patients. These were separated by decade of admission (1981-1990, 1991-2000, 2001-2010). TT characteristics were compared. Injury Severity Score (ISS), Revised Trauma Score (RTS-T) and Trauma Injury Severity Score (TRISS) were calculated. Results: A total of 3,068 TT were reviewed. In the 1981-1990 period, 604 cases of TT were registered (19.7%), in the 1991-2000 period, 1,070 cases (34.9%) and in the 2001-2010 period, 1,394 cases (45.4%) (p < 0.05). The ages of patients in each of these periods were 34.9 ± 15.5, 33.9 ± 16.2 and 35.7 ± 18.2 years respectively (p < 0.05). The proportion of patients aged 65 years or more were 6.6, 7.7 and 10.1% respectively, the proportion of females was 6.1, 9.4 and 12.0%, respectively. The causing agents per decade were knife wounds in 51.5, 61.1 and 60.0% of cases respectively, firearms in 2.5, 3.3 and 5.0% of cases respectively, multiple trauma in 13.9, 14.5 and 9.0% respectively and morbidity in 18.7, 19.7 and 11.7%, respectively. The ISS per decade was 11.9 ± 6.5, 12.9 ± 6.9 and 10.4 ± 6.8 respectively. No significant difference were found in mortality (1.5, 3.0, 2.0% respectively) or TRISS score (2.7, 3.2 and 3.8% respectively). Conclusions: An increase in the number of hospital admission for TT has occurred in the last three decades, with an increase in the proportion of admissions of subjects aged 65 years or more, females and with firearm injuries.

Published
2018

4. Monitorización de la presión intracraneal en traumatismo craneoencefálico severo

Author

Suemy Gabriela Rodríguez-Ruz, José Ramón García-Lira, Manuel R. Medina-Moreno, Rita Esther Zapata-Vázquez, Jose Luis Torres-Escalante, and Felipe Manuel Alonzo-Vázquez

Subjects
Gynecology, medicine.medical_specialty, Cerebral perfusion pressure, Intracranial pressure, business.industry, Trauma Severity Indexes, Follow up studies, Pronóstico, Presión intracraneal, Presión de perfusión cerebral, Prognostic, 03 medical and health sciences, Traumatic brain injury, 0302 clinical medicine, Pediatrics, Perinatology and Child Health, Traumatismo craneoencefálico, Medicine, Pediatrics, Perinatology, and Child Health, 030212 general & internal medicine, business, 030217 neurology & neurosurgery
Abstract

ResumenIntroducciónEl traumatismo craneoencefálico severo (TCES) es una entidad grave. La monitorización de la presión intracraneal (PIC) permite dirigir el tratamiento, el cual es de limitado acceso en países en vías de desarrollo.ObjetivoDescribir la experiencia clínica de pacientes pediátricos con TCES.Pacientes y métodoSe incluyeron pacientes con TCES, edad entre 1 y 17 años, previo consentimiento informado de los padres y/o tutores. Se excluyeron pacientes con enfermedades crónicas o retraso psicomotor. Los pacientes ingresaron desde el Servicio de Urgencia, donde se les realizó scanner cerebral (TAC), clasificándose las lesiones por Escala de Marshall. Los pacientes fueron divididos en 2 grupos según criterio neuroquirúrgico: con monitorización (CM) y sin monitorización (SM) de presión intracraneana. La monitorización de la PIC se realizó a través de un catéter intraparenquimatoso 3PN Spiegelberg conectado a un monitor Spiegelberg HDM 26. Los pacientes fueron tratados de acuerdo a las guías pediátricas para TCES. Se consideró la supervivencia como los días transcurridos entre el ingreso hospitalario y el fallecimiento, o su evaluación por Escala de Glasgow para un seguimiento de 6 meses.ResultadosCuarenta y dos pacientes (CM = 14 y SM= 28). Aquellos con monitorización tenían menor puntuación de la escala de coma de Glasgow y clasificación de Marshall con peor pronóstico. En ellos la supervivencia fue menor y el resultado moderado a bueno. No se registraron complicaciones con el uso del catéter de PIC.ConclusiónPacientes con monitorización tuvieron mayor gravedad al ingreso y una mayor mortalidad; sin embargo, el resultado funcional de los sobrevivientes fue de moderado a bueno. Se requiere de la realización de ensayos clínicos aleatorizados para definir el impacto de la monitorización de la PIC en la supervivencia y calidad de vida en estos pacientes.AbstractIntroductionSevere traumatic brain injury (TBI) is a serious condition. Intracranial pressure (ICP) monitoring can be used to direct treatment, which is of limited access in developing countries.ObjectiveTo describe the clinical experience of pediatric patients with severe TBI.Patients and MethodA clinical experience in patients with severe TBI was conducted. Age was 1–17 years, exclusion criteria were chronic illness and psicomotor retardation. Informed consent was obtained in each case. Two groups were formed based on the criterion of neurosurgeons: with and without intracraneal pressure (ICP) monitoring. PIC monitoring was performed through a 3PN Spiegelberg catheter and a Spiegelberg HDM 26 monitor. Patients were treated according international pediatric guides. The characteristics of both groups are described at 6 months of follow-up.ResultsForty-two patients (CM=14 and SM=28). Those in the CM Group had lower Glasgow coma scale score and Marshall classification with poorer prognosis. Among them survival rate was lower, although the outcome was from moderate to good. No complications were reported with the use of the ICP catheter.ConclusionPatients with ICP monitoring had greater severity at admission and an increased mortality; however, the outcome for the survivors was from moderate to good. It is necessary to conduct randomized clinical trials to define the impact of ICP monitoring on survival and quality of life in severe TBI patients.

Published
2016

5. Factores que influyen la comorbilidad entre trastorno de pánico y estrés postraumático después de terremotos

Author

Claudia Candia, Karla Montecino, and Marcelo Leiva-Bianchi

Subjects
Injury control, Accident prevention, 36 Problemas y servicios sociales, asociaciones / Social problems and social services, Trauma Severity Indexes, Philosophy, prevalencia, Public Health, Environmental and Occupational Health, Salud mental, Poison control, Comorbilidad, trastorno de pánico, salud mental, salud pública, Sex factors, 61 Ciencias médicas, Medicina / Medicine and health, Stress disorders, terremotos, estrés postraumático, Humanities, Disaster planning, tsunamis
Abstract

Objetivo Después del terremoto y tsunami de Chile (27-F), estudiamos el efecto de factores socio-demográficos, de exposición al evento y de ayuda estatal recibida en la comorbilidad entre trastorno de pánico (CAP) y estrés postraumático (TEPT).Método Encuestas que incluían la Escala de Trauma de Davidson (DTS) a 246 habitantes.Resultados Se encontró 19,1 % de comorbilidad (r=,583; R2=,340; pConclusiones Diseñamos perfiles de riesgo/resistencia ante terremotos/tsunamis y un instrumento (EP-TEPT) para detectar casos en riesgo de TEPT. Sugerimos pautas para que el Estado mejore su rol después de desastres.

Published
2014

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