[The prognosis of the traumatic disease course in polytrauma]

Comparative estimation of the state severity in 427 injured persons with polytrauma according to B[symbol: see text]X-M[symbol: see text] (OP)--C[symbol: see text]6, ISS, PTS scales was done. The lack of their efficacy was established. The method of the polytrauma severity estimation, concerning the injuries mutual aggravation syndrome as the main pathogenetic cause, was proposed. Six criteria, determined with the help of factor analysis, are estimated: the injured anatomic parts quantity, the anatomic injury severity index, the level of consciousness, systolic arterial pressure, age of the injured person, the period before the onset of the antishock therapy conduction. The total account of the criteria values are inscribed in the formula and are noted in special form of the standardized scale. The method permits to estimate the politrauma severity, to prognosticate the complications, the syndrome of polyorganic dysfunction occurrence and the mortality rate with 95% accuracy.