Correlation of Revised Trauma Score with Mortality Rate of Traumatic Patients within the First 24 hours of Hospitalization

Abstract

Background:: Trauma is a major health problem throughout the world, leading to death and disability especially in the first four decades of victims’ life. In Iran also, accident-related death has a critical situation with an increasing rate of 10-15% per year. The aim of this study was to determine the relationship between revised trauma score and mortality rate of traumatic patients within the first 24 h of hospitalization. Materials and Methods:: A prospective cross-sectional study was conducted to investigate the association between revised trauma score and the mortality rate of traumatic patients within the first 24 h of hospitalization on 240 traumatic patients admitted to Khatam al-Anbia hospital. The obtained data were analyzed with SPSS software-15, using logistic regression, chi-square, and descriptive statistics. Results:: Seventy four point tow percent of patients were referred due to accident, of which 38.3% had multiple traumas. Fifty point eight percent of traumatic patients died within the first 24 h of hospitalization. The minimum and maximum revised trauma score in injured patients were 7 and 12, respectively. Also, 80% of mortality was seen in victims with a score of 9-10. Both the χ2 test and logistic regression showed a significant relationship between the first revised trauma score and the mortality rate of traumatic patients within the first 24 h of hospitalization (p=0.001). Conclusion:: The results of this study indicate that the revised trauma score can be used as a tool to predict the mortality rate of traumatic patients.