Determinação do nível de gravidade do trauma Determination of trauma severity level by means of the injury severity score

• Main Authors: Terezinha Dalossi Gennari, Maria Sumie Koizumi
• Format: Article
• Language: English
• Published: Universidade de São Paulo 1995-10-01
• Series: Revista de Saúde Pública
• Subjects: Escala de gravidade do ferimento; Ferimentos e lesões; Injury Severity Score; Wounds and injuries
• Online Access: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89101995000500001
• ISSN: 0034-8910; 1518-8787

Trata-se de estudo prospectivo que teve por objetivo caracterizar a gravidade do trauma de pacientes hospitalizados, através do "Injury Severity Score" (ISS). Foram analisados 100 pacientes de trauma internados em uma instituição referência para trauma localizada em São Paulo, Brasil. Do total de pacientes, 68 sofreram trauma fechado e 32 trauma penetrante. Dentre os pacientes de trauma fechado, 53,0% sofreram trauma leve (ISS 1-15), 29,4% trauma moderado (ISS 16-24) e 17,6% trauma grave (ISS > 25) enquanto que 34,4% dos pacientes de trauma penetrante sofreram trauma leve, 18,7% trauma moderado e 46,9% trauma grave. A média e desvio-padrão dos ISSs dos pacientes de trauma fechado e penetrante foi, respectivamente, de 14,9 &plusmn; 8,1 e 20,8 &plusmn; 11,0, correspondendo a um percentual de mortos de 11,8% e 12,5%.<br>The severity of traumas in hospitalized patients was characterized by means of the Injury Severity Score (ISS) was studied prospectively. One hundred trauma patients hospitalized in a trauma referral health facility located in S. Paulo, Brazil, were analyzed. Of the total number of patients, 68 had blunt trauma and 32 penetrating trauma. As to ISS, it was discovered that 53.0% of the blunt trauma patients had mild trauma (ISS 1-15), 29,4% moderate trauma (ISS 16-24), and 17.6% showed severe trauma (ISS 25); 34.4% of the penetrating trauma patients had mild trauma, 18.7% moderate trauma and 46.9% severe trauma. The mean and standard deviations relationg to the ISS of blut and penetrating trauma patients were, respectively, 14.9 &plusmn; 8.1 and 20.8 &plusmn; 11.0; the respective mortality rates were of 11.8% and 12.5%