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 Yüksek kinetik enerjili silahlarla yaralanmi{dotless}ş ardi{dotless}şi{dotless}k 108 olguya ait ISS deǧerleri ile transfüzyon gereksinimleri arasi{dotless}ndaki ilişki ve ileri merkez son mod mortalite analizi
Ulusal Travma ve Acil Cerrahi Dergisi, cilt.20, sa.1, ss.39-44, 2014 (SCI-Expanded, Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 20 Sayı: 1
- Basım Tarihi: 2014
- Doi Numarası: 10.5505/tjtes.2014.90490
- Dergi Adı: Ulusal Travma ve Acil Cerrahi Dergisi
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.39-44
- Anahtar Kelimeler: Gunshot wounds, Injury Severity Score (ISS), mortality, transfusion
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
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). Discussion: 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. © 2014 TJTES.