Abstract
Prognosis of multiple trauma patients with severe pelvic fracture has been extremely poor. There are some indices to evaluate the severity and the outcome, such as injury severity score (ISS), revision of trauma score, lactate, and acute physiology and chronic health evaluation, but many of them are not good enough in emergency rooms.
In the present study, ISS based on anatomical injury score, arterial lactate based on pathophysiochemical score on admission and “ISS × lactate” index was evaluated in 31 multiple trauma patients with severe pelvic fracture, who were admitted to Yamaguchi university hospital. ISS and arterial lactate were good indices to evaluate their mortality. Moreover, “ISS × lactate” was an excellent index, because the sensitivity was 88% and the specificity was 93%, if the index was fixed at 60 points mmol/L.
It is concluded that “ISS × lactate” is an excellent index to evaluate the severity and the mortality of the multiple trauma patients with severe pelvic fracture and to decide the priority of their treatments, including transcatheter arterial embolization.
