THORACIC TRAUMA SEVERITY SCORE (TTSS) AS AN OUTCOME PREDICTOR OF BLUNT THORACAL INJURY PATIENTS IN ADAM MALIK MEDAN HOSPITAL

Abstract

Introduction Trauma is one of the biggest causes of death in the world. In thoracic trauma, 90% is blunt trauma and 10% of them require surgery. Mortality rates can be prevented by establishing a diagnosis and good measures. Thoracic Trauma Severity Score (TTSS) can be used to assess the severity of patients with thoracic trauma both anatomically and physiologically. TTSS can help predict advanced complications and provide early management of thoracic trauma patients. The purpose of this study was to determine the relationship between the assessment of TTSS trauma scores and outcomes on thoracic trauma at H. Adam Malik Medan Hospital. Methods This study is a correlative analytic study with a cross sectional study design conducted at H. Adam Malik Medan Hospital. The main results in the form of the relationship of TTSS scores with Karnofsky scores were analyzed using the Spearman correlation test. Other results relate to the comparison of TTSS value categories with patient characteristics and outcomes with the Chi square test. Result In this study, 20 study samples were obtained, with an average age of 51.15 (± 14.47) years, consisting of 14 men (70.0%) and 6 women (30.0%). The patient's condition was classified into two conditions, namely 13 patients (65.0%) good condition and 7 patients (35.0%) in poor condition. The correlation coefficient between the TTSS score with Karnofsky score is 0.794 and the p value <0.001 or shows statistically significant results.

Conclusion Based on the results of the study, it was found that there was a significant correlation between the assessment of TTSS trauma scores with poor outcomes in the thoracic trauma (p <0.001).