Analysis of Revised Trauma score with the mortality rate of injured patients within 24 hours of Hospitalization

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Abstract

Background: Trauma is the major health concern facing the world. Mortality rates have increased within the first 24 hours of hospitalization. Early assessment is important for effective management and mortality reduction. The RTS score (revised trauma score) consists of three components, which include the Glasgow Coma scale (GCS), Systolic blood pressure and breathing rate is effective tool for trauma assessment and outcomes. It is also used for mortality prediction. Few research studies have identified its relation with mortality. Objectives: This study was to analyze the relationship between revised trauma score and mortality rate of traumatic patients within an initial 24 hours of hospitalization and to triage the patient according to their priority Methods: The study was conducted at the Department of Emergency room and Trauma care technology by Chettinad university, Chennai.This studywas carried out for 1 year.A retrospective study analysis was carried out for 108 patients. This study includes participants with Patients age above 10 years, polytrauma ,Road traffic accident , Fall from height,Spinal cord injury. This study exclude patients with Age below 10 years , Dead on arrival ,Transfer from another hospital, Mild Trauma, More than 24 hours of hospitalization. The purposive sampling technique have been used. .The data was analysed by means inferential statistics such as Chi-square test, Logistic regression .A p - value < 0.05 was considered statistically significant. Results: According to the analysis 63.09%of patients were male,36.91% of patients were female. 41.67% of patients with road traffic accidents was the significant reason and 29.76% of patients with polytrauma was the significant site of injury 9.52%percent of horrendous patients died within 24 hours of hospitalization and greatest patients with the trauma score was 4 - 6. This indicates a critical connection between revised trauma score and mortality rate of traumatic patients within 24 hours of hospitalization (p= 0.002 ) Conclusion: This study shows that the Revised trauma score can be utilized as an apparatus to anticipate the mortality rate of traumatic patients

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