Validation of the DENVER Score for predicting multiple organ failure in Trauma Patients Treated at a University Hospital in Colombia
DOI:
https://doi.org/10.61182/rnavmed.v8n2a1Keywords:
DENVER Scale, Multiorganic Failure, TraumaAbstract
Introduction: Trauma is one of the pathologies that generate the greatest disability and mortality in Latin America. The aim of this study was to evaluate the usefulness of the DENVER classification to predict multiorgan failure in trauma victims who were treated in a university hospital in southern Colombia.
Materials and Methods: A database of traumatized patients who entered the emergency department between 2012 and 2015 was built. The effectiveness of the DENVER scale to predict multiorgan failure in trauma patients was evaluated, a univariate analysis was performed. Measures of central tendency and dispersion were calculated for the continuous variables, statistical confidence tests were applied, a p <0.05 was considered as significant.
Results: In total, 598 patients were analyzed. The mean age was 24.6 years (range 16 - 58). The median of the GCS was 5 (range 3-12), 86.7 % were men, 83.4 % had blunt trauma, of the patients who entered the institution 12.5 % had multiorgan failure, the overall mortality was 5.7%, the DENVER scale predicted multi-organ failure in 87.5 %.
Conclusion: Trauma is a public health problem, it is a frequent pathology in our hospital, multiorganic failure is a complication that occurs in trauma victims, DENVER is a model that has been described with the objective of identifying patients early that can develop multiorganic dysfunction syndrome and
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