Comparación del valor pronóstico de la escala revisada de trauma y apache II con la sobrevida de pacientes traumatizados graves. Hospital Vicente Corral Moscoso, 2013

Abstract

History: severe trauma is a real public health problem worldwide, being violence and traffic accidents the most common cause of this problem. To predict the survival of these patients, scales are used, which contribute to this end.

Objective: to determine that the revised scale of trauma is a better predictor of survival than the APACHE II, compared with survival to 30 days of severe trauma patients admitted to Hospital Vicente Corral Moscoso.

Materials, methods and types of study: a descriptive study of 91 medical records of patients diagnosed with severe trauma and admitted to Hospital Vicente Corral Moscoso was performed from december 2012 to may 2013. The results were: male-predominant with a percentage of 80.22% and a percentage of 19.78% were female; the most common group ages were between 16 and 44 years. Traffic accidents had a percentage of 30%, followed by stab wounds with a percentage of 21%. The RTS predicted that a percentage of 96.70% will live and a percentage of 3.30% will die. APACHE II predicted that a percentage of 93.3% will live and a percentage of 6.59% will die; while 30 days after the trauma occurred, the following result was obtained: a percentage of 79.12% lived and a percentage of 20.88% died.

Conclusion: APACHE II is a better predictor of survival than the RTS scale.

Keywords: SEVERE TRAUMA, RTS, APACHE II, SURVIVAL.