Accuracy of trauma scoring systems in predicting the mortality rate of injured patients referring to Shahid Rajaee Hospital, Shiraz in 2017

Background: Trauma scoring systems have made physicians and nurses aware of the injuries to the patient and help decision-making in the patient s treatment process. The purpose of this study was to compare the accuracy of trauma scores —mechanism of injury, Glasgow Coma Scale(GCS), age, systolic blood pressure (MGAP) score, GCS, —age, systolic blood pressure (GAP) score, The Revised Trauma Score (RTS) and Injury Severity Score (ISS) in predicting the mortality rate of trauma patients and More efficiently, an easy and practical scoring system to evaluate the severity of trauma patients. Methods: In this cross-sectional study, 1381 cases of trauma patients hospitalized in Shahid Rajaee Hospital in 2016 were investigated. Demographic data (age, gender), cause of accident (mechanism of accident, type of injury), primary care (Glasgow coma index, heart rate, respiration, systolic and diastolic blood pressure), treatment (triage level, determination of damaged areas of the body, outcome) and other variables specific to each scoring system were recorded. Using the area under ROC curve, accuracy of scoring systems in death prediction of traumatic patients were compared .Conclusion: GAP and MGAP trauma severity scoring systems are well suited to predict the mortality of traumatized traumatic patients compared to other indicators. Also, there is no significant difference in comparison with each other and can be used on the correct triage of the injured and planning the treatment

Keywords:

prediction of death , Severity of Trauma , GAP , MGA