Predictors of mortality in pre-hospital care for traffic accidents.

Abstract

Introduction: In Tungurahua, 93 deaths 4.73% of the total were recorded at the national level during the year 2016, due to traffic accidents, being this one of the first causesof death in Ecuador according to the National Institute of Statistics and Censuses.

Objective: Correlate the scales M.G.A. p, G.A. p and R.T. S as predictors of mortality in patients with trauma.

Material and methods: It is a retrospective descriptive study, taking as data the medical records of patients assisted by traffic accident trauma; Mortality prognostic scales for trauma were applied: MGAP, GAP and RTS and the strength of the association was measured with mortality.

Results: 1105 patients were included in the study. At low risk, the RTS scale presented a 0.24%, MGAP 0.23% and GAP 0.22%. In the average RTS risk showed 29.63%, MGAP 8% and GAP 28.6%. For high risk RTS 66.7%, MGAP 61.5% and GAP 60.0%. Statistical analysis of these results showed that there are no significant differences in mortality assessment between the three scales.

Conclusion: Estimated low, medium and high risk mortality was similar in the three scales, no statistically significant difference was found between MGAP, GAP and RTS scoring systems.