Protokoli bodovanja težine ozljede kao prediktori ishoda za politraumatizirane pacijente
Uvod: Težina ozljede kod politrauma procjenjuje se na temelju ljestvica koje se koriste zbrojem bodova (numerički sustavi), činjenica ozljede kao i na temelju iskustva u procjeni težine ozljeda. Skraćena ljestvica ozljeda (eng. Abbreviated Injury Scale - AIS) rangira ozljede od 1 do 6, s tim da 1 oz...
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| Veröffentlicht in: | Sestrinski glasnik 2022-12, Vol.27 (3), p.160-167 |
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| description | Uvod: Težina ozljede kod politrauma procjenjuje se na temelju ljestvica koje se koriste zbrojem bodova (numerički sustavi), činjenica ozljede kao i na temelju iskustva u procjeni težine ozljeda. Skraćena ljestvica ozljeda (eng. Abbreviated Injury Scale - AIS) rangira ozljede od 1 do 6, s tim da 1 označava lakše ozljede, a 6 maksimalno teške ozljede. Ljestvica nije dizajnirana za predviđanje preživljavanja i koristi se rezultatima koji se temelje na konsenzusu. Ocjena ozbiljnosti ozljede (eng. Injury Severity Score - ISS) dodjeljuje bodove ozljedama traumatiziranog pacijenta s višestrukim ozljedama cijelog tijela. Cilj je ovog rada odrediti prediktivne vrijednosti postojeće ljestvice ozljeda na ISS ljestvici.Metode: Uzorak je obuhvatio 84 pacijenta oba spola i svih dobnih skupina koji su praćeni tijekom jedne godine. Ispitanici su imali višestruke, prodorne i nepenetrantne ozljede, a uključivali su i one čiji su vitalni parametri stabilizirani te je dijagnostika provedena prema protokolu u Klinici za intenzivnu njegu bez obzira na konačni ishod. Primijenjena je formula koja se koristi za pretvaranje AIS-a u ISS rezultat protokola gradacije.Rezultati: Ispitanici su bili prosječno u dobi od 40 ± 17,6 godina, od kojih je većina bila muškaraca, a prometne su nesreće bile prevladavajući mehanizam ozljeđivanja. ISS se povećava s težinom ozljeda. Udio pacijenata s CCC bodom ≤ 14 imao je pozitivnu prediktivnu vrijednost različitu od ISS-a. Udio ispitanika s politraumom koji su imali CCC rezultat = 15 i ISS < 15 imao je negativnu prediktivnu vrijednost.Zaključak: Utvrđeno je da postoji razlika u pouzdanosti između CCC-a i ISS sustava u određivanju stupnja ozbiljnosti stanja u bolesnika liječenih u Klinici za intenzivnu njegu.
Introduction:
The severity of the injury is assessed against many scales, which use a sum of scores (numerical systems), injury facts, and experience to assess the severity of injuries. The AIS (Abbreviated Injury Scale) ranks injuries from 1 to 6, 1 being minor injuries and 6 being maximal injuries. It is not designed to predict survival and uses consensus-based scores determined by experts. The Injury Severity Score (ISS) assigns scores to the injuries of a trauma patient with whole-body multiple injuries. This paper aims to determine the predictive values of the existing scale of injuries on the ISS scale.
Methods:
The sample included 84 patients of both sexes and from all age groups, who were monitored over one year. The subjects had multip |
| doi_str_mv | 10.11608/sgnj.27.3.2 |
| format | Article |
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Introduction:
The severity of the injury is assessed against many scales, which use a sum of scores (numerical systems), injury facts, and experience to assess the severity of injuries. The AIS (Abbreviated Injury Scale) ranks injuries from 1 to 6, 1 being minor injuries and 6 being maximal injuries. It is not designed to predict survival and uses consensus-based scores determined by experts. The Injury Severity Score (ISS) assigns scores to the injuries of a trauma patient with whole-body multiple injuries. This paper aims to determine the predictive values of the existing scale of injuries on the ISS scale.
Methods:
The sample included 84 patients of both sexes and from all age groups, who were monitored over one year. The subjects had multiple penetrating and non-penetrating injuries, and included those whose vital parameters were stabilized and whose diagnostics were conducted according to the protocol in the Emergency Medicine Clinic regardless of the outcome. The formula used to convert AIS to ISS gradation protocol score was applied.
Results:
The subjects were aged 40 ± 17.6 years on average, most of whom male; road accidents were the predominant mechanism of injury. The ISS increases with the severity of injuries. The proportion of patients with a CCC score ≤14 had a positive predictive value different from the ISS. The proportion of subjects with polytrauma who had a CCC score = 15 and an ISS <15 had a negative predictive value.
Conclusion:
It was found that there was a difference in reliability between the CCC and ISS systems in determining the levels of severity of conditions in patients treated at the Critical Care Clinic.</description><identifier>ISSN: 1331-7563</identifier><identifier>EISSN: 1848-705X</identifier><identifier>DOI: 10.11608/sgnj.27.3.2</identifier><language>hrv ; eng</language><publisher>Hrvatska Udruga Medicinskih Sestara</publisher><subject>CCC ; ISS ; politrauma ; polytrauma ; sustavi bodovanja traume ; trauma scoring systems</subject><ispartof>Sestrinski glasnik, 2022-12, Vol.27 (3), p.160-167</ispartof><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><orcidid>0000-0001-5527-8278</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Uhttps://hrcak.srce.hr/logo_broj/22240.jpg</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids></links><search><creatorcontrib>Spahić, Ademir</creatorcontrib><creatorcontrib>Konjo, Hadžan</creatorcontrib><title>Protokoli bodovanja težine ozljede kao prediktori ishoda za politraumatizirane pacijente</title><title>Sestrinski glasnik</title><description>Uvod: Težina ozljede kod politrauma procjenjuje se na temelju ljestvica koje se koriste zbrojem bodova (numerički sustavi), činjenica ozljede kao i na temelju iskustva u procjeni težine ozljeda. Skraćena ljestvica ozljeda (eng. Abbreviated Injury Scale - AIS) rangira ozljede od 1 do 6, s tim da 1 označava lakše ozljede, a 6 maksimalno teške ozljede. Ljestvica nije dizajnirana za predviđanje preživljavanja i koristi se rezultatima koji se temelje na konsenzusu. Ocjena ozbiljnosti ozljede (eng. Injury Severity Score - ISS) dodjeljuje bodove ozljedama traumatiziranog pacijenta s višestrukim ozljedama cijelog tijela. Cilj je ovog rada odrediti prediktivne vrijednosti postojeće ljestvice ozljeda na ISS ljestvici.Metode: Uzorak je obuhvatio 84 pacijenta oba spola i svih dobnih skupina koji su praćeni tijekom jedne godine. Ispitanici su imali višestruke, prodorne i nepenetrantne ozljede, a uključivali su i one čiji su vitalni parametri stabilizirani te je dijagnostika provedena prema protokolu u Klinici za intenzivnu njegu bez obzira na konačni ishod. Primijenjena je formula koja se koristi za pretvaranje AIS-a u ISS rezultat protokola gradacije.Rezultati: Ispitanici su bili prosječno u dobi od 40 ± 17,6 godina, od kojih je većina bila muškaraca, a prometne su nesreće bile prevladavajući mehanizam ozljeđivanja. ISS se povećava s težinom ozljeda. Udio pacijenata s CCC bodom ≤ 14 imao je pozitivnu prediktivnu vrijednost različitu od ISS-a. Udio ispitanika s politraumom koji su imali CCC rezultat = 15 i ISS < 15 imao je negativnu prediktivnu vrijednost.Zaključak: Utvrđeno je da postoji razlika u pouzdanosti između CCC-a i ISS sustava u određivanju stupnja ozbiljnosti stanja u bolesnika liječenih u Klinici za intenzivnu njegu.
Introduction:
The severity of the injury is assessed against many scales, which use a sum of scores (numerical systems), injury facts, and experience to assess the severity of injuries. The AIS (Abbreviated Injury Scale) ranks injuries from 1 to 6, 1 being minor injuries and 6 being maximal injuries. It is not designed to predict survival and uses consensus-based scores determined by experts. The Injury Severity Score (ISS) assigns scores to the injuries of a trauma patient with whole-body multiple injuries. This paper aims to determine the predictive values of the existing scale of injuries on the ISS scale.
Methods:
The sample included 84 patients of both sexes and from all age groups, who were monitored over one year. The subjects had multiple penetrating and non-penetrating injuries, and included those whose vital parameters were stabilized and whose diagnostics were conducted according to the protocol in the Emergency Medicine Clinic regardless of the outcome. The formula used to convert AIS to ISS gradation protocol score was applied.
Results:
The subjects were aged 40 ± 17.6 years on average, most of whom male; road accidents were the predominant mechanism of injury. The ISS increases with the severity of injuries. The proportion of patients with a CCC score ≤14 had a positive predictive value different from the ISS. The proportion of subjects with polytrauma who had a CCC score = 15 and an ISS <15 had a negative predictive value.
Conclusion:
It was found that there was a difference in reliability between the CCC and ISS systems in determining the levels of severity of conditions in patients treated at the Critical Care Clinic.</description><subject>CCC</subject><subject>ISS</subject><subject>politrauma</subject><subject>polytrauma</subject><subject>sustavi bodovanja traume</subject><subject>trauma scoring systems</subject><issn>1331-7563</issn><issn>1848-705X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNo9kEtOwzAYhC0EElXpjgP4ACTEdmI7S1TxqFQJFl3Ayvr9CHXSxpEdkOjh2HEvAkWsZjSabxaD0CUpckJ4Ia_Ta9_mVOQspydoRmQpM1FUz6eTZ4xkouLsHC1S8roopSSiomKGXp5iGEMXdh7rYMM79C3g0X19-t7hcNi1zjrcQcBDdNZ3Y4ge-7QNFvAB8DBxY4S3PYz-4CNMzADGt64f3QU6a2CX3OJP52hzd7tZPmTrx_vV8madGUIYzapacNaQxnKAptbEUu2MKaU1jeCaa2OBakusqxgAlE7okjUaCLMV4dPCHGXH2W000Kkh-j3EDxXAq2OSonGTVVTyuqqn_tWxb2JIKbrmHyGF-j1S_RypqFBMUfYNn0hr_g</recordid><startdate>20221212</startdate><enddate>20221212</enddate><creator>Spahić, Ademir</creator><creator>Konjo, Hadžan</creator><general>Hrvatska Udruga Medicinskih Sestara</general><scope>AAYXX</scope><scope>CITATION</scope><scope>VP8</scope><orcidid>https://orcid.org/0000-0001-5527-8278</orcidid></search><sort><creationdate>20221212</creationdate><title>Protokoli bodovanja težine ozljede kao prediktori ishoda za politraumatizirane pacijente</title><author>Spahić, Ademir ; Konjo, Hadžan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c1132-59763f1fd6aaf9b1d2becc48dcf76b6bcda2bd1de53aaa4e7b43fba13d516113</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>hrv ; eng</language><creationdate>2022</creationdate><topic>CCC</topic><topic>ISS</topic><topic>politrauma</topic><topic>polytrauma</topic><topic>sustavi bodovanja traume</topic><topic>trauma scoring systems</topic><toplevel>online_resources</toplevel><creatorcontrib>Spahić, Ademir</creatorcontrib><creatorcontrib>Konjo, Hadžan</creatorcontrib><collection>CrossRef</collection><collection>Hrcak: Portal of scientific journals of Croatia</collection><jtitle>Sestrinski glasnik</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Spahić, Ademir</au><au>Konjo, Hadžan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Protokoli bodovanja težine ozljede kao prediktori ishoda za politraumatizirane pacijente</atitle><jtitle>Sestrinski glasnik</jtitle><date>2022-12-12</date><risdate>2022</risdate><volume>27</volume><issue>3</issue><spage>160</spage><epage>167</epage><pages>160-167</pages><issn>1331-7563</issn><eissn>1848-705X</eissn><abstract>Uvod: Težina ozljede kod politrauma procjenjuje se na temelju ljestvica koje se koriste zbrojem bodova (numerički sustavi), činjenica ozljede kao i na temelju iskustva u procjeni težine ozljeda. Skraćena ljestvica ozljeda (eng. Abbreviated Injury Scale - AIS) rangira ozljede od 1 do 6, s tim da 1 označava lakše ozljede, a 6 maksimalno teške ozljede. Ljestvica nije dizajnirana za predviđanje preživljavanja i koristi se rezultatima koji se temelje na konsenzusu. Ocjena ozbiljnosti ozljede (eng. Injury Severity Score - ISS) dodjeljuje bodove ozljedama traumatiziranog pacijenta s višestrukim ozljedama cijelog tijela. Cilj je ovog rada odrediti prediktivne vrijednosti postojeće ljestvice ozljeda na ISS ljestvici.Metode: Uzorak je obuhvatio 84 pacijenta oba spola i svih dobnih skupina koji su praćeni tijekom jedne godine. Ispitanici su imali višestruke, prodorne i nepenetrantne ozljede, a uključivali su i one čiji su vitalni parametri stabilizirani te je dijagnostika provedena prema protokolu u Klinici za intenzivnu njegu bez obzira na konačni ishod. Primijenjena je formula koja se koristi za pretvaranje AIS-a u ISS rezultat protokola gradacije.Rezultati: Ispitanici su bili prosječno u dobi od 40 ± 17,6 godina, od kojih je većina bila muškaraca, a prometne su nesreće bile prevladavajući mehanizam ozljeđivanja. ISS se povećava s težinom ozljeda. Udio pacijenata s CCC bodom ≤ 14 imao je pozitivnu prediktivnu vrijednost različitu od ISS-a. Udio ispitanika s politraumom koji su imali CCC rezultat = 15 i ISS < 15 imao je negativnu prediktivnu vrijednost.Zaključak: Utvrđeno je da postoji razlika u pouzdanosti između CCC-a i ISS sustava u određivanju stupnja ozbiljnosti stanja u bolesnika liječenih u Klinici za intenzivnu njegu.
Introduction:
The severity of the injury is assessed against many scales, which use a sum of scores (numerical systems), injury facts, and experience to assess the severity of injuries. The AIS (Abbreviated Injury Scale) ranks injuries from 1 to 6, 1 being minor injuries and 6 being maximal injuries. It is not designed to predict survival and uses consensus-based scores determined by experts. The Injury Severity Score (ISS) assigns scores to the injuries of a trauma patient with whole-body multiple injuries. This paper aims to determine the predictive values of the existing scale of injuries on the ISS scale.
Methods:
The sample included 84 patients of both sexes and from all age groups, who were monitored over one year. The subjects had multiple penetrating and non-penetrating injuries, and included those whose vital parameters were stabilized and whose diagnostics were conducted according to the protocol in the Emergency Medicine Clinic regardless of the outcome. The formula used to convert AIS to ISS gradation protocol score was applied.
Results:
The subjects were aged 40 ± 17.6 years on average, most of whom male; road accidents were the predominant mechanism of injury. The ISS increases with the severity of injuries. The proportion of patients with a CCC score ≤14 had a positive predictive value different from the ISS. The proportion of subjects with polytrauma who had a CCC score = 15 and an ISS <15 had a negative predictive value.
Conclusion:
It was found that there was a difference in reliability between the CCC and ISS systems in determining the levels of severity of conditions in patients treated at the Critical Care Clinic.</abstract><pub>Hrvatska Udruga Medicinskih Sestara</pub><doi>10.11608/sgnj.27.3.2</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0001-5527-8278</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
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| issn | 1331-7563 1848-705X |
| language | hrv ; eng |
| recordid | cdi_hrcak_primary_oai_hrcak_srce_hr_286959 |
| source | Alma/SFX Local Collection |
| subjects | CCC ISS politrauma polytrauma sustavi bodovanja traume trauma scoring systems |
| title | Protokoli bodovanja težine ozljede kao prediktori ishoda za politraumatizirane pacijente |
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