THE RELATION OF SHOCK INDEX (SI) AND REVISED TRAUMA SCORE (RTS) WITH TRAUMA PATIENTS MORTALITY AFTER FIRST 24 HOURS OF ADMISSION AT KHATAM-AL ANBIA HOSPITAL IN IRANSHAHR

Rezaee Hematabadi, MA and Kalbali, A and Rasouli, D and Heydarikhayat, N (2012) THE RELATION OF SHOCK INDEX (SI) AND REVISED TRAUMA SCORE (RTS) WITH TRAUMA PATIENTS MORTALITY AFTER FIRST 24 HOURS OF ADMISSION AT KHATAM-AL ANBIA HOSPITAL IN IRANSHAHR. The Journal of Urmia Nursing and Midwifery Faculty, 10 (4). pp. 621-629.

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Abstract

Trauma is one of the most important health problems and a leading cause of death in 4th decade of life. Mortality due to accidents has a critical situation in Iran and the mortality rate is increasing10-15% annually. The purpose of this study was assessing the relation of Shock index and revised trauma score with trauma patient’s mortality after first 24 hours of admission at khatam-al Anbia hospital in Iranshahr. Materials & Methods: Prospective design was used on 240 traumatic patients to predict mortality of trauma patients after 24 hours of hospitalization at Khatam-Alanbia hospital in Iranshahr. Descriptive statistics Ȥ2 test and logistic regression was used for data analysis. Result: 86/6% of trauma was due to accidents and falling. 38/3% experienced multi trauma. 2/1% expired during 24 hours of admission. The minimum and maximum sores and mean of SI were 0/31, 1/59 and 0/71 respectively. Also the minimum and maximum sores and mean of RTS were 7. 12 and 11/66 respectively. There was a significant relationship between SI and RTS with mortality of trauma patients by both X2 and logistic regression (P=0/000). Conclusion: The SI and TRS is a useful instrument for mortality predicating. To reduce errors in mortality prediction, it’s better to use them along with other kinds of triage instruments.

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