STUDYING THE MORTALITY PROGNOSTIC VALUE OF ISS, GAP, MGAP SCORES IN MULTIPLE TRAUMA PATIENTS

Việt Chiến Phùng1, Văn Mạnh Bùi1, Văn Ba Đặng1, Quang Huy Nguyễn1, Thị Hà Nguyễn1, Trung Kiên Nguyễn1
1 103 Military Hospital

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Abstract

Purpose: To understand the mortality prognosis of ISS, GAP, MGAP scores in multiple trauma patients. Methods: The prospective and descriptive study for 40 multiple trauma patients from 06/2022 to 02/2023 who was from 16 years of age and older. Multiple Trauma patietns were diagnosed according to Berlin consensus statement 2014. Results:  The majority of patients in the study were in the working age group 41-59 with an average age of 38.9 ± 16.1. The ISS, GAP, and MGAP score all have the potential to predict mortality with an AUC of 0.809, 0.804, and 0.77, respectively. The cut-off thresholds for ISS, GAP and MGAP scales were 34 with 83.3% sensitivity and 58.8% specificity, 12 with 97.1% sensitivity and 66.6% specificity, 18 with 92.1% sensitivity and 66.6% specificity, respectively. Conclusion: The ISS, GAP, and MGAP scores all have mortality prediction in patients with multiple trauma. In which, the ISS are the best scale in predicting mortality (AUC = 0.809) compared to the two scales left (GAP and MGAP). The GAP scale that includes basic clinical parameters has a good predictive ability of mortality (AUC = 0.804) and It can be used effectively in the Emergency Department.

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References

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