Anatomical-functional scale of estimation of the trauma severity in wounded persons with thoracoabdominal injuries in environment of conduction of The Joint Armed Forces Operation

Keywords: thoraco-abdominal injuries; estimation of the trauma severity; traumatic shock; anatomic-functional scale of estimation of the trauma severity (Admission trauma scale).

Abstract

Objective. To determine the trustworthiness of the elaborated anatomic-functional scale for the trauma severity estimation (Admission trauma scale) in the wounded persons with thoraco-abdominal injuries, evacuated on the level II medical service.

Materials and methods. Retrospective analysis was conducted, concerning 123 wounded persons with the gun-shot thoraco-abdominal injuries, obtained while conduction of The Joint Forces Operation. The trauma severity was determined in accordance to anatomic-functional scale (Admission trauma scale).

Results. Statistical analysis was conducted concerning the point characteristic estimation in accordance to anatomic-functional scale of the general massive of the observation. Estimation in accordance to anatomic-functional scale for the wounded persons, who have survived, constituted at average (6.9 ± 2) points, while for the wounded persons, who have died, – (12.4 ± 15) points. Then, a value of the confidence interval was determined in accordance to formula M ± 3δ. Of 123 wounded persons with thoraco-abdominal injuries in 107 (87%) the state of severity estimation in accordance to anatomic-functional scale did not cross the interval of trustworthiness borders.

Conclusion. Anatomic-functional scale for the trauma severity estimation permits to determine the organization of treatment peculiarities in the surgical help delivery on initial stages of medical evacuation, and, taking into account of this procedure simplicity, its application is possible without application of additional methods of examination.

Author Biographies

Ya. L. Zarutskyi, Ukrainian Military-Medical Academy, Kyiv

Zarutskyi Yaroslav, MD, DSci, Professor,
Chief of department of military surgery,
Ukranian military medical academy,
45/1, Moscow St., Kyiv 01015, Ukraine;
tel: (044) 280-00-34, (044) 280-01-43;
e-mail: zarutsky@ukr.net;
ORCID: https://orcid.org/0000-0003-0339-3607

S. A. Aslanyan, Ukrainian Military-Medical Academy, Kyiv

Aslanyan Sergey, Ph.D., Associate Professor (docent),
Associate Professor of the Department of Military Surgery,
Ukranian military medical academy,
45/1, Moscow St., Kyiv 01015, Ukraine;
tel: (044) 280-00-34, (044) 280-01-43
e-mail: sergeyaslanyan@ukr.net
ORCID: https://orcid.org/0000-0002-4122-775X

O. I. Zhovtonozhko, Ukrainian Military-Medical Academy, Kyiv

Zhovtonozhko Oleksandr, PhD, Associate Professor,
Associate Professor (docent) of the Department of Military Surgery,
Ukranian military medical academy,
45/1, Moscow St., Kyiv 01015, Ukraine;
tel: (044) 280-00-34, (044) 280-01-43;
e-mail: bassini@ukr.net;
ORCID: ORCID: https://orcid.org/0000-0003-1633-8009

Yu. M. Oliinyk, Ukrainian Military-Medical Academy, Kyiv

Oliinyk Yurii, PhD, Associate Professor,
Associate Professor (docent) of the Department of Military Surgery,
Ukranian military medical academy,
45/1, Moscow St., Kyiv 01015, Ukraine;
tel: (044) 280-00-34, (044) 280-01-43;
e-mail: yura-oleinik@ukr.net;
ORCID: https://orcid.org/0000-0002-2346-7071

P. P. Forostyanyi, The Main Military-Medical Clinical Centre of The State Border Service of Ukraine, Kyiv

Forostyanyi Pavlo, MD,
Chief of Urological department,
Main Military Medical Clinical Center,
58, Yagodnaya Str., Kyiv, Ukraine;
tel.: 044-229-55-29
e-mail: pavel.p.f@ukr.net
ORCID: https://orcid.org/0000-0002-1359-2629

V. S. Honcharuk, Ukrainian Military-Medical Academy, Kyiv

Honcharuk Viktor, Adjunct of the Department of Military Surgery,
Ukranian military medical academy,
45/1, Moscow St., Kyiv 01015, Ukraine;
tel: (044) 280-00-34, (044) 280-01-43;
e-mail: goncharukviktor87@gmail.com;
ORCID: https://orcid.org/0000-0001-9803-7781

M. S. Vovk, Ukrainian Military-Medical Academy, Kyiv

Vovk Mykhailo, Adjunct of the Department of Military Surgery,
Ukranian military medical academy,
45/1, Moscow St., Kyiv 01015, Ukraine;
tel: (044) 280-00-34, (044) 280-01-43;
e-mail: maikl77red@gmail.com;
ORCID: https://orcid.org/0000-0001-7739-670X

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Published
2020-05-26
How to Cite
Zarutskyi, Y. L., Aslanyan, S. A., Zhovtonozhko, O. I., Oliinyk, Y. M., Forostyanyi, P. P., Honcharuk, V. S., & Vovk, M. S. (2020). Anatomical-functional scale of estimation of the trauma severity in wounded persons with thoracoabdominal injuries in environment of conduction of The Joint Armed Forces Operation . Klinicheskaia Khirurgiia, 87(1-2), 3-7. https://doi.org/10.26779/2522-1396.2020.1-2.03
Section
General Problems of Surgery