Systemic Inflammation Response Syndrome Score Predicts the Mortality in Multiple Trauma Patients.
10.5090/kjtcs.2014.47.6.523
- Author:
Jong Hyun BAEK
1
;
Myeong Su KIM
;
Jung Cheul LEE
;
Jang Hoon LEE
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Yeungnam University College of Medicine, Korea. heartljh@yumail.ac.kr
- Publication Type:Original Article
- Keywords:
Trauma;
Mortality;
Systemic inflammatory response syndrome
- MeSH:
Emergency Service, Hospital;
Humans;
Inflammation*;
Models, Statistical;
Mortality*;
Multiple Trauma*;
Retrospective Studies;
Systemic Inflammatory Response Syndrome;
Thoracic Injuries
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2014;47(6):523-528
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: Numerous statistical models have been developed to accurately predict outcomes in multiple trauma patients. However, such trauma scoring systems reflect the patient's physiological condition, which can only be determined to a limited extent, and are difficult to use when performing a rapid initial assessment. We studied the predictive ability of the systemic inflammatory response syndrome (SIRS) score compared to other scoring systems. METHODS: We retrospectively reviewed 229 patients with multiple trauma combined with chest injury from January 2006 to June 2011. A SIRS score was calculated for patients based on their presentation to the emergency room. The patients were divided into two groups: those with an SIRS score of two points or above and those with an SIRS score of one or zero. Then, the outcomes between the two groups were compared. Furthermore, the ability of the SIRS score and other injury severity scoring systems to predict mortality was compared. RESULTS: Hospital death occurred in 12 patients (5.2%). There were no significant differences in the general characteristics of patients, but the trauma severity scores were significantly different between the two groups. The SIRS scores, number of complications, and mortality rate were significantly higher in those with a SIRS score of two or above (p<0.001). In the multivariant analysis, the SIRS score was the only independent factor related to mortality. CONCLUSION: The SIRS score is easily calculated on admission and may accurately predict mortality in patients with multiple traumas.
