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Evaluation of revised trauma score in polytraumatized patients
1Department of Surgery, Islamic International Medical College, Railway Hospital, Westridge, Rawalpindi. naweed_a@yahoo.com
Summary
The Revised Trauma Score (RTS) reliably predicts prognosis in polytraumatized patients. An RTS below 8 indicates severe injury with high mortality, making RTS valuable for triage.
Area of Science:
- Trauma Care
- Prognostic Indicators
- Emergency Medicine
Background:
- Polytrauma presents complex challenges in predicting patient outcomes.
- Accurate prognostic tools are crucial for effective trauma management and resource allocation.
Purpose of the Study:
- To evaluate the prognostic value and reliability of the Revised Trauma Score (RTS) in patients with multiple injuries.
- To assess the utility of RTS in predicting mortality and morbidity in polytraumatized individuals.
Main Methods:
- A descriptive study involving 30 adult patients with multisystem injuries from road traffic accidents.
- The Revised Trauma Score (RTS) was calculated upon initial assessment.
- Patient outcomes were compared with their initial RTS to determine prognostic accuracy.
Main Results:
- The Revised Trauma Score (RTS) demonstrated reliability in predicting prognosis for polytraumatized patients.
- A higher RTS correlated with better outcomes, while an RTS < 8 indicated severe injury and high mortality (26.66% overall mortality).
- An RTS of 6 was associated with a 50% mortality rate, highlighting its predictive power for critical cases.
Conclusions:
- The Revised Trauma Score (RTS) is a dependable indicator for assessing prognosis in polytraumatized patients.
- RTS can be effectively utilized for triage decisions in both pre-hospital and emergency room settings.