Trauma & Critical Care

Biography

Biography: Awaneesh Katiyar

Abstract

Background: - Multiple factors have been implicated by various workers around the world to predict the outcome in the patients of polytrauma. A numbers of trauma scoring systems also prevail. We conducted a study in a tertiary level trauma centre so as to find out various factors and formulate a clinical scoring system which can be used as a tool for exact prediction of outcome of trauma patients in terms of mortality and morbidity.

Material and methods:-A prospective study was done at Trauma Centre, Institute of Medical Sciences, BHU. Five hundred trauma patients were enrolled in the study depending upon inclusion and excluding criteria. The patients were assessed clinically and management started as per protocol. HR, RR, SBP, MBP, GCS, AIS, delay in arrival, mode of trauma was recorded. A clinical scoring system based on organ systems injured and severity of injury was used for scoring. Further the management done, course during hospital stay, complications and final outcome were also recorded. Final correlation and analysis was done. 

Result and discussion: - It was found that patients those who met with high velocity trauma and associated with head injury have high mortality rate. Mortality has also been more when head injury was associated with chest trauma. Spine trauma was found to be associated with high morbidity in form of para or quadriparesis. Patient having associated extremity fracture along and degloving injuries have prolonged hospital stay.

Conclusion:- In polytrauma patients various physiological, anatomical, biochemical parameters are important to predict the outcome of trauma patients. The scoring system used was also validated and found rational and useful.