APPLICATION OF KAMPALA TRAUMA SCORE FOR PREHOSPITAL ASSESSMENT OF SEVERITY OF INJURIES AND PREDICTION OF OUTCOME AFTER SEVERE TRAUMA

PRE-HOSPITAL APPLICATION OF THE KAMPALA SCORE

  • Ivana Milivojčević Bevc Zavod za urgentnu medicinu Beograd
  • Danijela Tasic-Uros Institute for emergency medical care Belgrade
  • Sladjana Andjelic Institute for emergency medical care Belgrade
  • Goran Colakovic Institute for emergency medical care Belgrade
  • Petrović Petrovic Institute for emergency medical care Belgrade
  • Ivana Stefanovic Institute for emergency medical care Belgrade
  • Verica Vukicevic Institute for emergency medical care Belgrade
DOI: https://doi.org/10.5937/halo29-47237
Keywords: Kampala trauma score, trauma, outcome

Abstract


 Injury severity scores are used to numerically characterize the nature and extent of the injury. They represent an important additional instrument that is used with the aim of faster triage, categorization severity injury, adequate care, treatment and transport patients with multiple injuries to the hospital. Objective is to point out the possibility of pre-hospital use of the Kampala Trauma Score (KTS) as an easily applicable and very suitable for monitoring the condition and predicting the outcome of a seriously injured person through patient reports. Pre-hospital, patients were assessed according to KTS with different injury severity, which were in accordance with the definitive outcome. We conclude that the KTS is an effective scoring system in the initial triage and categorization of severely injured, prediction mortality, necessity hospitalization and prediction of definitive outcome. Due to the limited number of patients, original research should be conducted on a larger sample.

References


  1. Milenković M. Ispitivanje prognostičkih faktora za ishod lečenja bolesnika sa teškom traumom, doktorska disertacija. Univerzitet u Beogradu: Medicinski fakultet, 2019.

  2. Rossiter ND. Trauma-the forgotten pandemic?. Int Orthop. 2022;46(1):3-11. doi: 10.1007/s00264-021-05213-z. PMID: 34519840.

  3. Jokšić-Mazinjanin R. Prehospitalni faktori i trauma skorovi za procenu težine traume i predviđanјe ishoda lečenјa povređenog pacijenta, doktorska disertacija. Univerzitet u Novom Sadu, Medicinski fakultet, 2018.


4.      Feldhaus I, Carvalho M, Waiz G, Igu J, Matthay Z, Dicker R, et al. Thefeasibility, appropriateness, and applicability of trauma scoring systems in low and middle-income countries: a systematic review. Trauma Surg Acute Care Open. 2020;5(1):e000424. doi: 10.1136/tsaco-2019-000424. PMID: 32420451.



  1. Jovanović D, Kaljević G. Sistemi skorovanja. NČ urgent med. 2015; 21(1):16-22.

  2. Lazić B, Karadžić B. Sistemi skorovanja. NČ urgent med. HALO 94, 2010; 16(2): 66- 77.

  3. Aldemir M, Tacyildiz I, Girgin S. Predicting factors for mortality in the penetrating abdominal trauma. Acta Chir Belg. 2004;104(4):429-34.

  4. Feldhaus I, Carvalho M, Waiz G, Igu J, Matthay Z, Dicker R, et al. Thefeasibility, appropriateness, and applicability of trauma scoring systems in low and middle-income countries: a systematic review. Trauma Surg Acute Care Open. 2020;5(1):e000424. doi: 10.1136/tsaco-2019-000424. PMID: 32420451.

  5. Rosenkrantz L, Schuurman N, Hameed MS, Boniface R, Lett R. The Kampala Trauma Score: A 20-year track record. Journal of Trauma and Acute Care Surgery. 2022; 92(6):p e132-38. DOI: 10.1097/TA.0000000000003567.

  6. Gojković Z, Jokšić-Mazinjanin R, Vasović V, Smieško G, Šaponja P, Petrović R, i sar. Prehospitalni trauma skorovi odraslih- stari ili novi? TMG. 2019; 44(1):31-39.

  7. Macleod JBA, Kobusingye O, Frost C, Lett R. Kampala Trauma Score (KTS): Is it a New Triage Tool? East and Central African Journal of Surgery. 2007;12(1):74-82.


12.  Sabigaba M, Jing L, Mbanjumucyo G, Mumporeze L, Beeman A, Martin KD. Epidemiology and outcomes of geriatric trauma patients consulting at the center hospitalier universitaire de Kigali emergency department. Afr J Emerg Med. 2023;13(4):221-24. doi: 10.1016/j.afjem.2023.08.001. PMID: 37662070.



  1. Gardner A, Forson PK, Oduro G, Stewart B, Dike N, Glover P, et al. Diagnostic accuracy of the Kampala Trauma Score using estimated Abbreviated Injury Scale scores and physician opinion. Injury. 2017;48(1):177-83. doi: 10.1016/j.injury.2016.11.022. PMID: 27908493.

  2. Girshausen R, Horst K, Herren C, Bläsius F, Hildebrand F, Andruszkow H. Polytrauma scoring revisited: prognostic validity and usability in daily clinical practice. Eur J Trauma Emerg Surg. 2022. Available: https://doi.org/10.1007/s00068-022-02035-5.

  3. Manoochehry S, Vafabin M, Bitaraf S, Amiri A. A Comparison between the Ability of Revised Trauma Score and Kampala Trauma Score in Predicting Mortality; a Meta-Analysis. Arch Acad Emerg Med. 2019;7(1):e6. PMID: 30847441.

  4. Ariaka H, Kiryabwire J, Hussein S, Ogwal A, Nkonge E, Oyania F. A Comparison of the Predictive Value of the Glasgow Coma Scale and the Kampala Trauma Score for Mortality and Length of Hospital Stay in Head Injury Patients at a Tertiary Hospital in Uganda: A Diagnostic Prospective Study. Surg Res Pract. 2020;2020:1362741. doi: 10.1155/2020/1362741. PMID: 33110935.

  5. Clarkson CA, Clarkson C, Rubiano AM, Borgaonkar M. A Comparison of the Kampala Trauma Score with the Revised Trauma Score in a Cohort of Colombian Trauma Patients. Panam J Trauma Critical Care Emerg Surg. 2012;1(3):146-49.

  6. Yost MT, Carvalho MM, Mbuh L, Dissak-Delon FN, Oke R, Guidam D, et al. Back to the basics: Clinical assessment yields robust mortality prediction and increased feasibility in low resource settings. PLOS Glob Public Health. 2023;3(3):e0001761. doi: 10.1371/journal.pgph.0001761. PMID: 36989211.

  7. Dubale BW, Friedman LE, Chemali Z, Denninger JW, Mehta DH, Alem A, et al. Systematic review of burnout among healthcare providers in sub-Saharan Africa. BMC Public Health. 2019;19(1):1247. doi: 10.1186/s12889-019-7566-7.

Published
2023/12/20
Issue
Vol. 29 No. 2-3 (2023): SCIENTIFIC JOURNAL OF EMERGENCY MEDICINE HALO 194
Section
Case report
Autori koji objavljuju u ovom časopisu pristaju na sledeće uslove:

  1. Autori zadržavaju autorska prava i pružaju časopisu pravo prvog objavljivanja rada i licenciraju ga "Creative Commons Attribution licencom" koja omogućava drugima da dele rad, uz uslov navođenja autorstva i izvornog objavljivanja u ovom časopisu.

  2. Autori mogu izraditi zasebne, ugovorne aranžmane za neekskluzivnu distribuciju članka objavljenog u časopisu (npr. postavljanje u institucionalni repozitorijum ili objavljivanje u knjizi), uz navođenje da je članak izvorno objavljen u ovom časopisu.

  3. Autorima je dozvoljeno i podstiču se da postave objavljeni članak onlajn (npr. u institucionalni repozitorijum ili na svoju internet stranicu) pre ili tokom postupka prijave rukopisa, s obzirom da takav postupak može voditi produktivnoj razmeni ideja i ranijoj i većoj citiranosti objavljenog članka (Vidi Efekti otvorenog pristupa).