Archives of Trauma Research Archives of Trauma Research Arch Trauma Res http://www.archtrauma.com 2251-953X 2251-9599 10.5812/atr. en jalali 2018 2 21 gregorian 2018 2 21 6 2
en 10.5812/atr.36702 Efficiency of Respiratory Index in Determining Short-Term Prognosis of Multiple Trauma Patients: A Cross-Sectional Study Efficiency of Respiratory Index in Determining Short-Term Prognosis of Multiple Trauma Patients: A Cross-Sectional Study research-article research-article Conclusions

Based on the findings of this study, RI cannot properly estimate short-term prognosis of multiple trauma patients, but it can be used as an independent factor in evaluating the severity of injury.

Background

Being aware of trauma patients’ conditions and predicting their outcome has always been of a great interest. To determine the state and prognosis of these patients, we should find ways to enable the timely identification of those with poor health and allow the physicians to treat them before the situation gets out of hand.

Objectives

The present study aimed at evaluating the efficiency of respiratory index (RI) in determining the short-term prognosis of multiple trauma patients in comparison with revised trauma score (RTS).

Methods

In this cross-sectional study, all multiple trauma patients who were admitted to emergency department (ED) of Shahid Rajaee hospital, Shiraz, Iran, during September and October 2013 were included. Demographic data and data regarding vital signs (blood pressure, heart rate, respiratory rate, GCS, and oxygen saturation), respiratory tract status, trauma type, blood gases, procedures performed in resuscitation room, and final outcome of the patients (discharge, disposition to general unit, intensive care unit, or operating room, and dying) were recorded using a predesigned checklist. Based on the collected data, RTS and RI were calculated for each patient and their correlation and the final outcome were evaluated.

Results

Evaluating 187 multiple trauma patients showed that 131 (70%) patients had head injury, 78 (42%) chest injury, 66 (35%) abdominal injury, 49 (26%) extremity injury, 27 (14%) neck injury, and 4 (2%) vascular injury. A significant correlation was seen between RI and RTS (P = 0.024). RTS differentiated patients with good and poor health (P < 0.05), while RI showed no significant correlation with patients’ short-term final outcome.

Conclusions

Based on the findings of this study, RI cannot properly estimate short-term prognosis of multiple trauma patients, but it can be used as an independent factor in evaluating the severity of injury.

Background

Being aware of trauma patients’ conditions and predicting their outcome has always been of a great interest. To determine the state and prognosis of these patients, we should find ways to enable the timely identification of those with poor health and allow the physicians to treat them before the situation gets out of hand.

Objectives

The present study aimed at evaluating the efficiency of respiratory index (RI) in determining the short-term prognosis of multiple trauma patients in comparison with revised trauma score (RTS).

Methods

In this cross-sectional study, all multiple trauma patients who were admitted to emergency department (ED) of Shahid Rajaee hospital, Shiraz, Iran, during September and October 2013 were included. Demographic data and data regarding vital signs (blood pressure, heart rate, respiratory rate, GCS, and oxygen saturation), respiratory tract status, trauma type, blood gases, procedures performed in resuscitation room, and final outcome of the patients (discharge, disposition to general unit, intensive care unit, or operating room, and dying) were recorded using a predesigned checklist. Based on the collected data, RTS and RI were calculated for each patient and their correlation and the final outcome were evaluated.

Results

Evaluating 187 multiple trauma patients showed that 131 (70%) patients had head injury, 78 (42%) chest injury, 66 (35%) abdominal injury, 49 (26%) extremity injury, 27 (14%) neck injury, and 4 (2%) vascular injury. A significant correlation was seen between RI and RTS (P = 0.024). RTS differentiated patients with good and poor health (P < 0.05), while RI showed no significant correlation with patients’ short-term final outcome.

Glasgow Coma Scale;Multiple Trauma;Patients;Prognosis;Respiratory Index Glasgow Coma Scale;Multiple Trauma;Patients;Prognosis;Respiratory Index http://www.archtrauma.com/index.php?page=article&article_id=36702 Golnar Sabetian Golnar Sabetian Assistant Professor of Anesthesiology and Critical Care, Trauma Research Center, Shiraz University of Medical Sciences, Shiraz, Iran Assistant Professor of Anesthesiology and Critical Care, Trauma Research Center, Shiraz University of Medical Sciences, Shiraz, Iran Shahram Paydar Shahram Paydar Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran Ali Rasti Ali Rasti Resident of Ophthalmology, Shiraz University of Medical Sciences, Shiraz, Iran Resident of Ophthalmology, Shiraz University of Medical Sciences, Shiraz, Iran Zahra Ghahramani Zahra Ghahramani Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran; Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran. Tel: +98-7136360697, Fax: +98-7136254206 Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran; Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran. Tel: +98-7136360697, Fax: +98-7136254206