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Prediction of 24-Hour Mortality Risk in the GAP Scoring System of Traffic Victims
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Armin Mehri1    , Ali Jafari2 , Seyed Mohammad Mousavi1 |
1- School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
2- School of Medicine, Shahid Beheshti University of Medical Sciences, Isfahan, Iran , ali-jafari@outlook.com |
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Abstract: (297 Views) |
Introduction: Trauma is one of the causes of disability and death, and traffic accidents are at the top of its causes. In order to save the lives of patients, it is recommended to use a valid scoring system to assess the severity of the injury and determine the prognosis of the patients. GAP scoring system includes significance level, age and SBP. These variables can be evaluated by the pre-hospital treatment staff and the prognosis of the patient can be checked in terms of mortality, morbidity and the need for surgery. Based on this, the present study was conducted with the aim of determining the GAP scoring system in predicting the 24-hour mortality of traffic victims in Isfahan city, Iran.
Methods: The present study was descriptive, analytical and cross-sectional, which was conducted in 1403. The number of examined samples was equal to 1266 patients who were included in the study by census during 10 months. The information was collected by a checklist and by the researcher using the medical records of the patients and was analyzed by SPSS version 22 software.
Results: According to GAP grouping, the number of 810 people (63.98%) was low, 335 people (26.46%) were average, and 121 people (9.56%) were high. 187 of the study subjects (14.7%) experienced death. 187 people (14.7%) died. The sensitivity, specificity, positive and negative predictive values of GAP were 82.54, 85.9, 73.73 and 76.81, respectively. Finally, the ROC diagram showed that the GAP criterion predicted the outcome (mortality and survival) of the patient.
Conclusion: Considering that trauma is one of the most sensitive conditions depending on time, therefore management, evaluation, resuscitation and definitive care of the patient are very important. By using scoring systems such as the GAP scoring system, it is possible to make an appropriate decision about the 24-hour mortality of patients. |
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| Keywords: GAP scoring system, 24-hour mortality, Trauma, Traffic casualties |
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Type of Article: Research Article |
Subject:
Health Management
Received: 2024/07/29 | Revised: 2025/08/4 | Accepted: 2024/07/31
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