Analysis of Revised Trauma score with the mortality rate of injured patients within 24 hours of Hospitalization

Analysis of Revised Trauma score with the mortality rate of injured patients within 24 hours of Hospitalization | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article Analysis of Revised Trauma score with the mortality rate of injured patients within 24 hours of Hospitalization SUBASHREE K This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-6963811/v1 This work is licensed under a CC BY 4.0 License Status: Posted Version 1 posted You are reading this latest preprint version Abstract Background: Trauma is the major health concern facing the world. Mortality rates have increased within the first 24 hours of hospitalization. Early assessment is important for effective management and mortality reduction. The RTS score (revised trauma score) consists of three components, which include the Glasgow Coma scale (GCS), Systolic blood pressure and breathing rate is effective tool for trauma assessment and outcomes. It is also used for mortality prediction. Few research studies have identified its relation with mortality. Objectives: This study was to analyze the relationship between revised trauma score and mortality rate of traumatic patients within an initial 24 hours of hospitalization and to triage the patient according to their priority Methods: The study was conducted at the Department of Emergency room and Trauma care technology by Chettinad university, Chennai.This studywas carried out for 1 year.A retrospective study analysis was carried out for 108 patients. This study includes participants with Patients age above 10 years, polytrauma ,Road traffic accident , Fall from height,Spinal cord injury. This study exclude patients with Age below 10 years , Dead on arrival ,Transfer from another hospital, Mild Trauma, More than 24 hours of hospitalization. The purposive sampling technique have been used. .The data was analysed by means inferential statistics such as Chi-square test, Logistic regression .A p - value < 0.05 was considered statistically significant. Results: According to the analysis 63.09%of patients were male,36.91% of patients were female. 41.67% of patients with road traffic accidents was the significant reason and 29.76% of patients with polytrauma was the significant site of injury 9.52%percent of horrendous patients died within 24 hours of hospitalization and greatest patients with the trauma score was 4 - 6. This indicates a critical connection between revised trauma score and mortality rate of traumatic patients within 24 hours of hospitalization (p= 0.002 ) Conclusion: This study shows that the Revised trauma score can be utilized as an apparatus to anticipate the mortality rate of traumatic patients Revised Trauma score Mortality Trauma Glasgow coma scale Figures Figure 1 Figure 2 Figure 3 Figure 4 1. Background Injury is a significant medical issue all through the world prompting passing and incapacity. The most regular reasons for under 21–30 yrs elderly folks individuals. The significant seriousness ascribed to brain injury and furthermore spinal injury, polytrauma, and chest injury[ 1 , 2 ]. Road traffic accidents have been represented the subsequent reason for ailment and sudden death close to AIDS[ 3 ]. Among 21–30 years of age men in 2000. The world health organization has reported that road traffic accidents will turn into the third driving reason for sickness in the realm of 2020[ 4 ] Consistently 1.7 million individuals are murdered in road traffic accidents and in excess of 25 million individuals are harmed or incapacitated [ 5 , 6 ].Treatment during golden hour can spare an actual existence or an organ. Each harmed people contrast to the nature and seriousness of their wounds [ 7 ] The utilization of the Revised Trauma Score started in mid 1989. Subsequently triaging dependent on injury seriousness for giving proper treatment to suitable patients inside less time and decreases the mortality and horribleness. This is a physiological scoring framework [ 8 ]. Revised Trauma score has three distinct boundaries ( Glasgow Coma Scale, Systolic Blood Pressure and Respiratory Rate. ) by utilizing these three boundaries we can dissect updated trauma score [ 9 , 10 ] GLASGOW COMA SCORE (GCS) RESPONSE SCALE SCORE Eye-opening response Eye open spontaneously Eye open to verbal command, speech, shout Eye open to pain( not applied to face) No response 4 3 2 1 Verbal response Oriented Confused, but able to answer questions Inappropriate responses, words dissemble Incomprehensible sounds or speech No verbal response 5 4 3 2 1 Motar response Obeys command for movement Localizing pain Withdrawl from pain Abnormal flexion Abnormal extension No motar response TOTAL minimum score 6 5 4 3 2 1 15 3 minor injury: 13–15 score moderate injury: 9–12 score severe injury: <8very severe injury 89 10–29 4 9–12 76–89 > 29 3 6–8 50–75 6–9 2 4–5 1–49 1–5 1 3 0 0 0 Thesse three scores (Glasgow Coma Scale, Systolic Blood Pressure, Respiratory Rate) are then used to take the weighted sum by RTS = 0.9368 GCS + 0.7326 SBP + 0.2908 RR. Values for the RTS are in the range 0 to 7.8408 [ 12 , 13 ]. The RTS is heavily weighted towards the Glasgow Coma Scale to compensate for major head injury without multisystem injury or major physiological changes[ 13 ]. A threshold of RTS < 4 has been proposed to identify those patients who should be treated in a trauma center, although this value may be somewhat low [ 14 ] The final score of this scale is in the range of 0–12. The patients with a score lessthan 3 have very little chance of survival; score 3–10 requires immediate intervention; score 11 requires intervention but the patient can wait for some time, score 12 includes delayed care especially in START triage [ 15 ]. This study mainly to show the relationship of RTS (Revised Trauma Score ) and mortality rate of trauma patients within 24 hours of hospitalization and to identify the cause, site of trauma. After analyzing the patient's severity triage the patients and provide treatment [ 16 ] The systolic blood pressure, measured in mmHg, offers information on the pressure by which blood is pumped from the heart to the arteries [ 17 ]. Normal values are between 90 and 120. High BP is indicative of hypertension [ 18 ]. Respiratory rate or the ventilation rate, measures the number of breaths (inspiration-expiration cycles) in a minute. Normal RR is also called eupnea and is around 60 breaths per minute. Increased RR is called tachypnea while decreased RR is called bradypnea [ 18 ]. Triage Systems and tags The most common classification uses the internationally accepted four Code system RED - indicates higher priority of treatment of transfer eg: massive hemorrhage, tension pneumothorax YELLOW - signal medium priority eg: isolated simple femur fracture GREEN - It used for ambulatory patients .eg: isolated abrasions Contusions, sprains BLACK- For dead or those with minimum chance or survival eg.massive head injuries Injury triage is the utilization of injury evaluation for organizing patients for treatment or transport as indicated by their seriousness of injury or Triage is the way toward deciding the need of patient's treatment dependent on their seriousness. Primary is done at the area of a mishap and secondary triage at the emergency clinic[ 19 , 20 ]. 2. Objectives This study was to analyze the relationship between revised trauma score and mortality rate of traumatic patients within an initial 24 hours of hospitalization and to triage the patient according to their priority 3. Methods 3.1 Study design :Retrospective observational study 3.2 Number of Patients: 108 Patients 3.3 Inclusion Criteria : Patients age above 10 years Patients with polytrauma Road traffic accident patients Fall from height Spinal cord injury Within 24 hours of hospitalization 3.4 Exclusion Criteria Age below 10 years Dead on arrival Discharge before establishment of diagnosis Transfer from another hospital Mild and Superficial Trauma More than 24 hours of hospitalization 3.5 Sampling technique : Purposive sampling technique 3.6 Statistical Analysis : The data was analysed by means inferential statistics such as Chi-square test, Logistic regression .A p - value < 0.05 was considered statistically significant. Results Table 1: Percentage of epidemiology data No. of cases % Age 10 – 20 21 - 30 31-40 41-50 51-60 9 29 20 14 12 10.71% 34.52% 23.81% 16.67% 14.29% Status on arrival Conscious Unconscious 62 22 73.81% 26.19% Sex Male Female 53 31 63.09% 36.91% Priority as per revised trauma score Immediate Urgent Delayed expectant 40 15 27 2 47.61% 17.86% 32.14% 3.38% Time taken in casualty Below 30 min Above 30 min 76 8 90.48% 9.52% Transferred to OP AMA Declared on casualty Ward ICU OT 1 5 8 34 20 16 1.19% 5.95% 9.52% 40.48% 23.81% 19.05% Transport Ambulance Own vehicle 52 32 61.90% 38.1% Survived after 3 months Yes No 74 10 88.1% 11.9% STATE ALCOHOLIC NO 20 64 23.81% 76.19% Table 2: Site of injury Site no of case Mortality rate (Patients) head neck 20 4 spinal cord 25 4 poly trauma 25 7 abdominal injury 15 3 upper extremity 8 1 lower extremity 15 1 Table 3 : Relationship between RTS Score and mortality CHI SQUARE TEST RTS no of cases Mortality 0-2 1.456280279 6.116377 2 to 4 0.082417582 0.346154 4 to 6 0.667582418 2.803846 6 to 7.8 0.544304901 2.286081 χ2= 14.30304294 df = 3 p =0.002520378 As indicated by the consequence of this investigation, the base and greatest time of tests were 10 and 60 years individually with a mean of 16.8 and a standard deviation of 7.918. The age recurrence was 10.71% in10-20 yrs , 34.52% in 21-30 yrs, 23.81% in 31-40 yrs,16.67% in 41-50 yrs,14.29% in 51-60 yrs . 63.09 %were male and 36.91% were female. The reason for wounds was road traffic accidents(41.67%), fall from height(11.90%), assault(10.71%), slip and fall(29.76%), and penetrating injury(5.96%) and furthermore home mishaps and mishaps brought about by kids playing with risky articles. Out of this 23.8% had head and neck injury,29.76% had polytrauma,17.86% had spinal cord injury and abdomen injury,4.76% had upper extremity injuryand 5.95 had lower extremity injury Nine point five (9.5)%percent of the patients passed on inside the initial 24 h of hospitalization. 61.9%percent of them were shipped to medical clinic by crisis rescue(ambulance )vehicle .what's more, 9.5%patients shipped by crisis medication, died in emergency room ( casualty) .5.9%, of them, released against clinical counsel 40.48% patients moved toward ward, 23.81%patients were moved to ICU likewise 8.3%patients shifted in ICU and 9.5% patients died in ward among these 73.81% patients were conscious 26.19%patients were unconscious. 23.81% patients were alcoholic and 76.19%patients were non-alcoholic 61.9% of patients were shipped to setback by rescue vehicle(ambulance) and 38.1% of patients by their vehicle. In this examination revised trauma score was 0-2 in 22.6%,2-4 in 17.8%,4-6 in 34.7%, 6-7.8 in 23.80% ,the most extreme no of patients with trauma score was 4-6. The patient's site of injury was contrasted and the death rate inside 24 hours of hospitalization. In table 1. Thus the p = 0.9 alpha= 0.05 no significiant relationship was found GCS study has been made in table 2, to discover the consequences of the GCS and death rate with the assistance of the chi-square test. χ2 = 9.75960591 ,df =2, p=0.0075985 . This examination presumed that there is a critical relationship found among GCS and death rate additionally it demonstrates with the bar graph Additionally, there was a critical connection between's the revised traumascore with mortality of horrendous patients inside the initial 24 h of hospitalization (p=0.002), df=3, χ2 =14.30304294( table 3). 0-4 RTS Score has greater death rate, A logistical regression analysis was acted in which passing was a dependent variable while systolic circulatory strain, respiratory rate, GCS score, and injury score were considered as indicator factors. The logistical regression results additionally demonstrated that a noteworthy inverse relationship existed between the death rate and the revised trauma score inside the initial 24 hours of hospitalization Discussion Trauma is a leading cause of mortality and morbidity all over the world, particularly among young adults and individuals in low- and middle-income countries [1,2]. Globally, injuries contribute significantly to the burden of disease, with road traffic accidents ranking among the top causes of injury-related deaths [5,6]Trauma-related injuries account for about 10% of all global mortality, with a considerable number of these deaths occurring during the first 24 hours after hospital admission, emphasizing the significance of early assessment and therapy. [6] In this study, we examined the Revised Trauma Score (RTS) in connection to the 24-hours death rate among trauma patients who presented to the emergency department. The RTS, which includes the Glasgow Coma Scale (GCS), systolic blood pressure (SBP), and respiration rate (RR), is a valid instrument for predicting trauma severity and survival [11,12]. Its therapeutic efficacy has been proven across several research and is still a common component in trauma evaluation regimens [12,13]. The principle of the "golden hour," which indicates early and adequate trauma care during the first 24 hours following injury, is critical for improving survival rates [7]. Our findings support this approach, since patients with lower RTS on admission had significantly higher 24-hour mortality rates. This connection is consistent with the fundamental trauma research, which identifies physiologic deterioration during the first few hours post-injury as a substantial predictor of early death [9]. Trauma scoring systems such as RTS and Injury Severity Score (ISS) help in triage, risk stratification, and the evaluation of trauma care[13, 19].While the ISS is an anatomical scoring system and requires comprehensive injury documentation, RTS offers an immediate and physiology-based assessment, making it especially valuable in acute care settings. This study confirms RTS as a practical and time-efficient tool for predicting early mortality , particularly when integrated with Advanced Trauma Life Support (ATLS) protocols [20] Remarkably, our results showed that patients with RTS < 4 had an exceptionally high death rate during the first 24 hours, which validates earlier studies suggesting that lower RTS is directly linked with negative outcomes [17]. The use of trauma scores for predicting early mortality carries significant implications for emergency medical services (EMS) and prehospital triage, indicating that the RTS might assist in making prompt referrals to trauma centers, particularly in developing nations where trauma systems are still in the process of maturation. [20].This corresponds with the worldwide appeal from the WHO for organized trauma systems and research-based strategies to decrease fatalities caused by injuries.[3,4,5] Although this study has its strengths, it also comes with limitations, such as being conducted at a single center and possible inconsistencies in prehospital care. Nevertheless, the alignment of the findings with international trauma literature supports the credibility of RTS as an indicator of short-term mortality. [14]. Conclusion The Revised Trauma score is a reliable, simple and effective tool to predict early mortality among trauma patients. Its integration into emergency and trauma protocols, especially in the first 24 hours of care, may significantly enhance patient triage and outcomes, Further studies should aim for multicenter validation and integration with electronic trauma registries for broader applicability Declarations Ethics Approval Statement: The study was reviewed and approved by the Institutional Human Ethics Committee of , Chettinad Academy of Research and Education, Chennai, India (Approval No.743/IHEC/12-19) Participant Consent Statement: Written informed consent was obtained from all participants included in the study. For participants who were minors or unable to provide consent, consent was obtained from their legal guardians. Author Contribution S.K. conceptualized and designed the study. performed data collection and data entry. conducted the statistical analysis and interpreted the results. References Norton R, Kobusingye O. Injuries. N Engl J Med. 2013;368(18):1723–30. Peden M, McGee K, Sharma G. The injury chart book: a graphical overview of the global burden of injuries. Geneva: WHO; 2002. Murray CJL, Lopez AD. Global Burden of Disease: A Comprehensive Assessment. Geneva: WHO; 1996. World Health Organization. Global status report on road safety 2018. Geneva: WHO; 2018. WHO. Road Traffic Injuries [Internet]. 2021 [cited 2025 May 20]. Available from: https://www.who.int/news-room/fact-sheets/detail/road-traffic-injuries Krug EG, Sharma GK, Lozano R. The global burden of injuries. Am J Public Health. 2000;90(4):523–6. Lerner EB, Moscati RM. The golden hour: scientific fact or medical “urban legend”? Acad Emerg Med. 2001;8(7):758–60. Champion HR, Sacco WJ, Copes WS, et al. A revision of the Trauma Score. J Trauma. 1989;29(5):623–9. Boyd CR, Tolson MA, Copes WS. Evaluating trauma care: the TRISS method. J Trauma. 1987;27(4):370–8. Champion HR, Copes WS, Sacco WJ. Trauma scoring. Crit Care Clin. 1989;5(1):83–97. Teasdale G, Jennett B. Assessment of coma and impaired consciousness. Lancet. 1974;304(7872):81–4. Champion HR, Sacco WJ, Copes WS, et al. A revision of the trauma score. J Trauma. 1989;29(5):623–9. Baker SP, O'Neill B, Haddon W Jr, Long WB. The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. J Trauma. 1974;14(3):187–96. Rhee P, Joseph B, Pandit V, et al. Increasing trauma deaths in the United States: 2000–2010. J Trauma Acute Care Surg. 2014;76(3):646–50. Jenkins JL, McCarthy ML, Sauer LM, et al. Mass-casualty triage: time for an evidence-based approach. Prehosp Disaster Med. 2008;23(1):3–8. Garner A, Lee A, Harrison K, et al. Comparative analysis of multiple-casualty incident triage algorithms. Ann Emerg Med. 2001;38(5):541–8. Mutschler M, Nienaber U, Münzberg M, et al. Revised injury severity classification II: a new approach to predict outcome in trauma patients. PLoS One. 2013;8(5):e67177. Guyton AC, Hall JE. Textbook of Medical Physiology. 13th ed. Philadelphia: Elsevier; 2015. Palmer C. Major trauma and the injury severity score—where should we set the bar? Annu Proc Assoc Adv Automot Med. 2007;51:13–29. Ali J, Adam R, Butler AK, et al. Trauma outcome improves following the advanced trauma life support program in a developing country. J Trauma. 1993;34(6):890–8. Additional Declarations No competing interests reported. Cite Share Download PDF Status: Posted Version 1 posted You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. Our growing team is made up of researchers and industry professionals working together to solve the most critical problems facing scientific publishing. Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-6963811","acceptedTermsAndConditions":true,"allowDirectSubmit":true,"archivedVersions":[],"articleType":"Research Article","associatedPublications":[],"authors":[{"id":476104329,"identity":"ddf9aabe-c0c3-43a7-bd2c-4926ff3f1c81","order_by":0,"name":"SUBASHREE K","email":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAABA0lEQVRIiWNgGAWjYFACHgYGxgYgzd7/4UBCBZDBzNxApBaeA4YHPpwBaWEkVotEgvHBmW0gEQJa5GfkHvz4c8c9OX6GhITDvPNqo/nbgVp+VGzDqcXgRl6yNO+ZYmPJhgMHDvNuO5474zBjA2PPmdu4tUjkGEgztiUkbjjY2ADUciy3AaiFmbENtxb5GTnGP3+2JdTvP8zMcJh3zrHc+YS0MNzIMZPgbUtIMGBjYzg4s6EmdwMhLQZn3qVZA7UYzjjDw3Dgw7EDuRuBWg7i84t8e+7hm0CHyfPPf8P8IaGmLnfe+cMHH/yowOMwNHAYTB4gWj0Q1JGieBSMglEwCkYIAACJBWM6xYX8FQAAAABJRU5ErkJggg==","orcid":"","institution":"The Apollo University","correspondingAuthor":true,"prefix":"","firstName":"SUBASHREE","middleName":"","lastName":"K","suffix":""}],"badges":[],"createdAt":"2025-06-24 09:08:14","currentVersionCode":1,"declarations":"","doi":"10.21203/rs.3.rs-6963811/v1","doiUrl":"https://doi.org/10.21203/rs.3.rs-6963811/v1","draftVersion":[],"editorialEvents":[],"editorialNote":"","failedWorkflow":false,"files":[{"id":85618116,"identity":"83c6b8cc-998a-4272-9962-af18f568e2db","added_by":"auto","created_at":"2025-06-29 14:48:29","extension":"png","order_by":1,"title":"Figure 1","display":"","copyAsset":false,"role":"figure","size":13664,"visible":true,"origin":"","legend":"\u003cp\u003eLegend not included with this version.\u003c/p\u003e","description":"","filename":"1.png","url":"https://assets-eu.researchsquare.com/files/rs-6963811/v1/354d2015995abee5601f20c2.png"},{"id":85618117,"identity":"d87b0fb4-039d-4b36-b86f-8831da401b1d","added_by":"auto","created_at":"2025-06-29 14:48:29","extension":"png","order_by":2,"title":"Figure 2","display":"","copyAsset":false,"role":"figure","size":14799,"visible":true,"origin":"","legend":"\u003cp\u003eRelationship between RTS Score and mortality\u003c/p\u003e\n\u003cp\u003eThe logistic regression results also indicated that a significant relationship existed between the mortality rate and the revised trauma score within the first 24 hours of hospitalization\u003c/p\u003e","description":"","filename":"2.png","url":"https://assets-eu.researchsquare.com/files/rs-6963811/v1/b1128d126c66f3de3aeeadc1.png"},{"id":85618120,"identity":"b5fb0f69-dc18-4563-af0d-8a5c48bed4d0","added_by":"auto","created_at":"2025-06-29 14:48:29","extension":"png","order_by":3,"title":"Figure 3","display":"","copyAsset":false,"role":"figure","size":18228,"visible":true,"origin":"","legend":"\u003cp\u003eFigure 4 : Admitted details\u003c/p\u003e","description":"","filename":"4.png","url":"https://assets-eu.researchsquare.com/files/rs-6963811/v1/a0f86859ad446765f705a16a.png"},{"id":85619307,"identity":"88086ae7-2cdf-4f88-9e47-d68e42a40a61","added_by":"auto","created_at":"2025-06-29 14:56:29","extension":"png","order_by":4,"title":"Figure 4","display":"","copyAsset":false,"role":"figure","size":9471,"visible":true,"origin":"","legend":"\u003cp\u003eFigure 5 : Survival data after 3 months\u003c/p\u003e","description":"","filename":"5.png","url":"https://assets-eu.researchsquare.com/files/rs-6963811/v1/8ab829091286f8d8bdff2dcd.png"},{"id":85661859,"identity":"5e409644-a66e-4b87-985a-8dc7d8c9fa69","added_by":"auto","created_at":"2025-06-30 11:54:08","extension":"pdf","order_by":0,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":543411,"visible":true,"origin":"","legend":"","description":"","filename":"manuscript.pdf","url":"https://assets-eu.researchsquare.com/files/rs-6963811/v1/aab287ab-227e-4936-90e8-bf4875138fa6.pdf"}],"financialInterests":"No competing interests reported.","formattedTitle":"Analysis of Revised Trauma score with the mortality rate of injured patients within 24 hours of Hospitalization","fulltext":[{"header":"1. Background","content":"\u003cp\u003eInjury is a significant medical issue all through the world prompting passing and incapacity. The most regular reasons for under 21\u0026ndash;30 yrs elderly folks individuals. The significant seriousness ascribed to brain injury and furthermore spinal injury, polytrauma, and chest injury[\u003cspan citationid=\"CR1\" class=\"CitationRef\"\u003e1\u003c/span\u003e, \u003cspan citationid=\"CR2\" class=\"CitationRef\"\u003e2\u003c/span\u003e]. Road traffic accidents have been represented the subsequent reason for ailment and sudden death close to AIDS[\u003cspan citationid=\"CR3\" class=\"CitationRef\"\u003e3\u003c/span\u003e]. Among 21\u0026ndash;30 years of age men in 2000. The world health organization has reported that road traffic accidents will turn into the third driving reason for sickness in the realm of 2020[\u003cspan citationid=\"CR4\" class=\"CitationRef\"\u003e4\u003c/span\u003e] Consistently 1.7\u0026nbsp;million individuals are murdered in road traffic accidents and in excess of 25\u0026nbsp;million individuals are harmed or incapacitated [\u003cspan citationid=\"CR5\" class=\"CitationRef\"\u003e5\u003c/span\u003e, \u003cspan citationid=\"CR6\" class=\"CitationRef\"\u003e6\u003c/span\u003e].Treatment during golden hour can spare an actual existence or an organ. Each harmed people contrast to the nature and seriousness of their wounds [\u003cspan citationid=\"CR7\" class=\"CitationRef\"\u003e7\u003c/span\u003e]\u003c/p\u003e \u003cp\u003eThe utilization of the Revised Trauma Score started in mid 1989. Subsequently triaging dependent on injury seriousness for giving proper treatment to suitable patients inside less time and decreases the mortality and horribleness. This is a physiological scoring framework [\u003cspan citationid=\"CR8\" class=\"CitationRef\"\u003e8\u003c/span\u003e]. Revised Trauma score has three distinct boundaries ( Glasgow Coma Scale, Systolic Blood Pressure and Respiratory Rate. ) by utilizing these three boundaries we can dissect updated trauma score [\u003cspan citationid=\"CR9\" class=\"CitationRef\"\u003e9\u003c/span\u003e, \u003cspan citationid=\"CR10\" class=\"CitationRef\"\u003e10\u003c/span\u003e]\u003c/p\u003e \u003cp\u003e \u003cb\u003eGLASGOW COMA SCORE (GCS)\u003c/b\u003e \u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"No\" id=\"Taba\" border=\"1\"\u003e \u003ccolgroup cols=\"3\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\"\u003e \u003cp\u003eRESPONSE\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c2\"\u003e \u003cp\u003eSCALE\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c3\"\u003e \u003cp\u003eSCORE\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eEye-opening response\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eEye open spontaneously\u003c/p\u003e \u003cp\u003eEye open to verbal command, speech, shout\u003c/p\u003e \u003cp\u003eEye open to pain( not applied to face)\u003c/p\u003e \u003cp\u003eNo response\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e4\u003c/p\u003e \u003cp\u003e3\u003c/p\u003e \u003cp\u003e2\u003c/p\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eVerbal response\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eOriented\u003c/p\u003e \u003cp\u003eConfused, but able to answer questions\u003c/p\u003e \u003cp\u003eInappropriate responses, words dissemble\u003c/p\u003e \u003cp\u003eIncomprehensible sounds or speech\u003c/p\u003e \u003cp\u003eNo verbal response\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e5\u003c/p\u003e \u003cp\u003e4\u003c/p\u003e \u003cp\u003e3\u003c/p\u003e \u003cp\u003e2\u003c/p\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eMotar response\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eObeys command for movement\u003c/p\u003e \u003cp\u003eLocalizing pain\u003c/p\u003e \u003cp\u003eWithdrawl from pain\u003c/p\u003e \u003cp\u003eAbnormal flexion\u003c/p\u003e \u003cp\u003eAbnormal extension\u003c/p\u003e \u003cp\u003eNo motar response\u003c/p\u003e \u003cp\u003eTOTAL\u003c/p\u003e \u003cp\u003eminimum score\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e6\u003c/p\u003e \u003cp\u003e5\u003c/p\u003e \u003cp\u003e4\u003c/p\u003e \u003cp\u003e3\u003c/p\u003e \u003cp\u003e2\u003c/p\u003e \u003cp\u003e1\u003c/p\u003e \u003cp\u003e15\u003c/p\u003e \u003cp\u003e3\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e \u003cp\u003eminor injury: 13\u0026ndash;15 score\u003c/p\u003e \u003cp\u003emoderate injury: 9\u0026ndash;12 score\u003c/p\u003e \u003cp\u003esevere injury: \u0026lt;8very severe injury\u0026thinsp;\u0026lt;\u0026thinsp;8 needs intubation\u003c/p\u003e \u003cp\u003e \u003cb\u003eGCS\u0026thinsp;=\u0026thinsp;15\u0026thinsp;=\u0026thinsp;E4V5M6\u003c/b\u003e[\u003cspan citationid=\"CR12\" class=\"CitationRef\"\u003e12\u003c/span\u003e]\u003c/p\u003e \u003cp\u003e \u003cb\u003eREVISED TRAUMA SCORE (RTS)\u003c/b\u003e \u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"No\" id=\"Tabb\" border=\"1\"\u003e \u003ccolgroup cols=\"4\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c4\" colnum=\"4\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\"\u003e \u003cp\u003eGlasgow coma scale\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c2\"\u003e \u003cp\u003eSystolic bp\u003c/p\u003e \u003cp\u003e(mmHg)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c3\"\u003e \u003cp\u003eRespiratory rate\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c4\"\u003e \u003cp\u003eCoded value\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e13\u0026ndash;15\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u0026gt;\u0026thinsp;89\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e10\u0026ndash;29\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e4\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e9\u0026ndash;12\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e76\u0026ndash;89\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u0026gt;\u0026thinsp;29\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e3\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e6\u0026ndash;8\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e50\u0026ndash;75\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e6\u0026ndash;9\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e2\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e4\u0026ndash;5\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e1\u0026ndash;49\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e1\u0026ndash;5\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e3\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e0\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e \u003cp\u003eThesse three scores (Glasgow Coma Scale, Systolic Blood Pressure, Respiratory Rate) are then used to take the weighted sum by RTS\u0026thinsp;=\u0026thinsp;0.9368 GCS\u0026thinsp;+\u0026thinsp;0.7326 SBP\u0026thinsp;+\u0026thinsp;0.2908 RR. Values for the RTS are in the range 0 to 7.8408 [\u003cspan citationid=\"CR12\" class=\"CitationRef\"\u003e12\u003c/span\u003e, \u003cspan citationid=\"CR13\" class=\"CitationRef\"\u003e13\u003c/span\u003e]. The RTS is heavily weighted towards the Glasgow Coma Scale to compensate for major head injury without multisystem injury or major physiological changes[\u003cspan citationid=\"CR13\" class=\"CitationRef\"\u003e13\u003c/span\u003e]. A threshold of RTS\u0026thinsp;\u0026lt;\u0026thinsp;4 has been proposed to identify those patients who should be treated in a trauma center, although this value may be somewhat low [\u003cspan citationid=\"CR14\" class=\"CitationRef\"\u003e14\u003c/span\u003e]\u003c/p\u003e \u003cp\u003eThe final score of this scale is in the range of 0\u0026ndash;12. The patients with a score lessthan 3 have very little chance of survival; score 3\u0026ndash;10 requires immediate intervention; score 11 requires intervention but the patient can wait for some time, score 12 includes delayed care especially in START triage [\u003cspan citationid=\"CR15\" class=\"CitationRef\"\u003e15\u003c/span\u003e]. This study mainly to show the relationship of RTS (Revised Trauma Score ) and mortality rate of trauma patients within 24 hours of hospitalization and to identify the cause, site of trauma. After analyzing the patient's severity triage the patients and provide treatment [\u003cspan citationid=\"CR16\" class=\"CitationRef\"\u003e16\u003c/span\u003e]\u003c/p\u003e \u003cp\u003eThe systolic blood pressure, measured in mmHg, offers information on the pressure by which blood is pumped from the heart to the arteries [\u003cspan citationid=\"CR17\" class=\"CitationRef\"\u003e17\u003c/span\u003e]. Normal values are between 90 and 120. High BP is indicative of hypertension [\u003cspan citationid=\"CR18\" class=\"CitationRef\"\u003e18\u003c/span\u003e].\u003c/p\u003e \u003cp\u003eRespiratory rate or the ventilation rate, measures the number of breaths (inspiration-expiration cycles) in a minute. Normal RR is also called eupnea and is around 60 breaths per minute. Increased RR is called tachypnea while decreased RR is called bradypnea [\u003cspan citationid=\"CR18\" class=\"CitationRef\"\u003e18\u003c/span\u003e].\u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"No\" id=\"Tabc\" border=\"1\"\u003e \u003ccolgroup cols=\"1\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eTriage Systems and tags\u003c/b\u003e\u003c/p\u003e \u003cp\u003eThe most common classification uses the internationally accepted four\u003c/p\u003e \u003cp\u003eCode system\u003c/p\u003e \u003cp\u003e\u003cb\u003eRED\u003c/b\u003e - indicates higher priority of treatment of transfer eg: massive hemorrhage, tension pneumothorax\u003c/p\u003e \u003cp\u003e\u003cb\u003eYELLOW\u003c/b\u003e- signal medium priority eg: isolated simple femur fracture\u003c/p\u003e \u003cp\u003e\u003cb\u003eGREEN\u003c/b\u003e - It used for ambulatory patients .eg: isolated abrasions\u003c/p\u003e \u003cp\u003eContusions, sprains\u003c/p\u003e \u003cp\u003e\u003cb\u003eBLACK-\u003c/b\u003e For dead or those with minimum chance or survival eg.massive head injuries\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e \u003cp\u003eInjury triage is the utilization of injury evaluation for organizing patients for treatment or transport as indicated by their seriousness of injury or Triage is the way toward deciding the need of patient's treatment dependent on their seriousness. Primary is done at the area of a mishap and secondary triage at the emergency clinic[\u003cspan citationid=\"CR19\" class=\"CitationRef\"\u003e19\u003c/span\u003e, \u003cspan citationid=\"CR20\" class=\"CitationRef\"\u003e20\u003c/span\u003e].\u003c/p\u003e"},{"header":"2. Objectives","content":"\u003cp\u003e \u003cdiv class=\"BlockQuote\"\u003e \u003cp\u003eThis study was to analyze the relationship between revised trauma score and mortality rate of traumatic patients within an initial 24 hours of hospitalization and to triage the patient according to their priority\u003c/p\u003e \u003c/div\u003e \u003c/p\u003e"},{"header":"3. Methods","content":"\u003cp\u003e3.1\u0026nbsp;Study design :Retrospective observational study\u003c/p\u003e\n\u003cp\u003e3.2 \u0026nbsp;Number of Patients: 108 Patients\u003c/p\u003e\n\u003cp\u003e3.3 Inclusion Criteria :\u0026nbsp;\u003c/p\u003e\n\u003cp\u003ePatients age above 10 years\u003c/p\u003e\n\u003cp\u003ePatients with polytrauma\u003c/p\u003e\n\u003cp\u003e\u0026nbsp;Road traffic accident patients\u003c/p\u003e\n\u003cp\u003eFall from height\u003c/p\u003e\n\u003cp\u003eSpinal cord injury\u003c/p\u003e\n\u003cp\u003eWithin 24 hours of hospitalization\u003c/p\u003e\n\u003cp\u003e3.4 Exclusion Criteria\u003c/p\u003e\n\u003cp\u003eAge below 10 years\u003c/p\u003e\n\u003cp\u003eDead on arrival\u003c/p\u003e\n\u003cp\u003eDischarge before establishment of diagnosis\u003c/p\u003e\n\u003cp\u003eTransfer from another hospital\u003c/p\u003e\n\u003cp\u003eMild and Superficial Trauma\u003c/p\u003e\n\u003cp\u003eMore than 24 hours of hospitalization\u003c/p\u003e\n\u003cp\u003e3.5 Sampling technique : Purposive sampling technique\u003c/p\u003e\n\u003cp\u003e3.6 Statistical Analysis \u0026nbsp;: The data was analysed by means \u0026nbsp;inferential statistics such as \u0026nbsp;Chi-square test, Logistic regression .A p - value \u0026lt; 0.05 was considered statistically significant.\u0026nbsp;\u003c/p\u003e"},{"header":"Results","content":"\u003cp\u003eTable 1: Percentage of epidemiology data\u003c/p\u003e\n\u003ctable border=\"1\" cellspacing=\"0\" cellpadding=\"0\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 143px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 209px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 143px;\"\u003e\n \u003cp\u003eNo. of cases\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 143px;\"\u003e\n \u003cp\u003e%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 143px;\"\u003e\n \u003cp\u003eAge\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 209px;\"\u003e\n \u003cp\u003e\u0026nbsp;10 \u0026ndash; 20\u003c/p\u003e\n \u003cp\u003e\u0026nbsp; 21 - 30\u003c/p\u003e\n \u003cp\u003e\u0026nbsp; 31-40\u003c/p\u003e\n \u003cp\u003e\u0026nbsp; 41-50\u003c/p\u003e\n \u003cp\u003e\u0026nbsp; 51-60\u003c/p\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 143px;\"\u003e\n \u003cp\u003e9\u003c/p\u003e\n \u003cp\u003e29\u003c/p\u003e\n \u003cp\u003e20\u003c/p\u003e\n \u003cp\u003e14\u003c/p\u003e\n \u003cp\u003e12\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 143px;\"\u003e\n \u003cp\u003e10.71%\u003c/p\u003e\n \u003cp\u003e34.52%\u003c/p\u003e\n \u003cp\u003e23.81%\u003c/p\u003e\n \u003cp\u003e16.67%\u003c/p\u003e\n \u003cp\u003e14.29%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 143px;\"\u003e\n \u003cp\u003e\u0026nbsp;Status on arrival\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 209px;\"\u003e\n \u003cp\u003e\u0026nbsp;Conscious\u003c/p\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003eUnconscious\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 143px;\"\u003e\n \u003cp\u003e62\u003c/p\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e22\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 143px;\"\u003e\n \u003cp\u003e73.81%\u003c/p\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e26.19%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 143px;\"\u003e\n \u003cp\u003e\u0026nbsp; Sex\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 209px;\"\u003e\n \u003cp\u003eMale\u003c/p\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003eFemale\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 143px;\"\u003e\n \u003cp\u003e\u0026nbsp;53\u003c/p\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e\u0026nbsp;31\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 143px;\"\u003e\n \u003cp\u003e\u0026nbsp; 63.09%\u003c/p\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e\u0026nbsp; 36.91%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 143px;\"\u003e\n \u003cp\u003ePriority as per revised trauma score\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 209px;\"\u003e\n \u003cp\u003eImmediate\u003c/p\u003e\n \u003cp\u003eUrgent\u003c/p\u003e\n \u003cp\u003eDelayed\u003c/p\u003e\n \u003cp\u003eexpectant\u003c/p\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 143px;\"\u003e\n \u003cp\u003e40\u003c/p\u003e\n \u003cp\u003e15\u003c/p\u003e\n \u003cp\u003e27\u003c/p\u003e\n \u003cp\u003e2\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 143px;\"\u003e\n \u003cp\u003e47.61%\u003c/p\u003e\n \u003cp\u003e17.86%\u003c/p\u003e\n \u003cp\u003e32.14%\u003c/p\u003e\n \u003cp\u003e\u0026nbsp;3.38%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 143px;\"\u003e\n \u003cp\u003eTime taken in casualty\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 209px;\"\u003e\n \u003cp\u003eBelow 30 min\u003c/p\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003eAbove 30 min\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 143px;\"\u003e\n \u003cp\u003e76\u003c/p\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e8\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 143px;\"\u003e\n \u003cp\u003e\u0026nbsp;90.48%\u003c/p\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e\u0026nbsp;9.52%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 143px;\"\u003e\n \u003cp\u003eTransferred to\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 209px;\"\u003e\n \u003cp\u003eOP\u003c/p\u003e\n \u003cp\u003eAMA\u003c/p\u003e\n \u003cp\u003eDeclared on casualty\u003c/p\u003e\n \u003cp\u003eWard\u003c/p\u003e\n \u003cp\u003eICU\u003c/p\u003e\n \u003cp\u003eOT\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 143px;\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003cp\u003e5\u003c/p\u003e\n \u003cp\u003e8\u003c/p\u003e\n \u003cp\u003e34\u003c/p\u003e\n \u003cp\u003e20\u003c/p\u003e\n \u003cp\u003e16\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 143px;\"\u003e\n \u003cp\u003e1.19%\u003c/p\u003e\n \u003cp\u003e5.95%\u003c/p\u003e\n \u003cp\u003e9.52%\u003c/p\u003e\n \u003cp\u003e40.48%\u003c/p\u003e\n \u003cp\u003e23.81%\u003c/p\u003e\n \u003cp\u003e19.05%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 143px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003eTransport\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 209px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003eAmbulance\u003c/p\u003e\n \u003cp\u003eOwn vehicle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 143px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e52\u003c/p\u003e\n \u003cp\u003e32\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 143px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e61.90%\u003c/p\u003e\n \u003cp\u003e38.1%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 143px;\"\u003e\n \u003cp\u003eSurvived after 3 months\u003c/p\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 209px;\"\u003e\n \u003cp\u003e\u0026nbsp; Yes\u003c/p\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e\u0026nbsp;No\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 143px;\"\u003e\n \u003cp\u003e74\u003c/p\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e10\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 143px;\"\u003e\n \u003cp\u003e88.1%\u003c/p\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e11.9%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 143px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003eSTATE\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 209px;\"\u003e\n \u003cp\u003eALCOHOLIC\u003c/p\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003eNO\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 143px;\"\u003e\n \u003cp\u003e20\u003c/p\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e64\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 143px;\"\u003e\n \u003cp\u003e23.81%\u003c/p\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e76.19%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eTable 2: Site of injury\u003c/p\u003e\n\u003ctable border=\"1\" cellspacing=\"0\" cellpadding=\"0\" width=\"430\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd valign=\"bottom\" style=\"width: 152px;\"\u003e\n \u003cp\u003eSite\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 151px;\"\u003e\n \u003cp\u003eno of case\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 127px;\"\u003e\n \u003cp\u003eMortality rate (Patients)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"bottom\" style=\"width: 152px;\"\u003e\n \u003cp\u003ehead neck\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 151px;\"\u003e\n \u003cp\u003e20\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 127px;\"\u003e\n \u003cp\u003e4\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"bottom\" style=\"width: 152px;\"\u003e\n \u003cp\u003espinal cord\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 151px;\"\u003e\n \u003cp\u003e25\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 127px;\"\u003e\n \u003cp\u003e4\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"bottom\" style=\"width: 152px;\"\u003e\n \u003cp\u003epoly trauma\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 151px;\"\u003e\n \u003cp\u003e25\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 127px;\"\u003e\n \u003cp\u003e7\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"bottom\" style=\"width: 152px;\"\u003e\n \u003cp\u003eabdominal injury\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 151px;\"\u003e\n \u003cp\u003e15\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 127px;\"\u003e\n \u003cp\u003e3\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"bottom\" style=\"width: 152px;\"\u003e\n \u003cp\u003eupper extremity\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 151px;\"\u003e\n \u003cp\u003e8\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 127px;\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"bottom\" style=\"width: 152px;\"\u003e\n \u003cp\u003elower extremity\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 151px;\"\u003e\n \u003cp\u003e15\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 127px;\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp\u003eTable 3 : Relationship between RTS Score and mortality\u003c/p\u003e\n\u003cp\u003eCHI SQUARE \u0026nbsp; TEST\u003c/p\u003e\n\u003ctable border=\"1\" cellspacing=\"0\" cellpadding=\"0\" width=\"610\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd valign=\"bottom\" style=\"width: 203px;\"\u003e\n \u003cp\u003eRTS\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 203px;\"\u003e\n \u003cp\u003eno of cases\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 203px;\"\u003e\n \u003cp\u003eMortality\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"bottom\" style=\"width: 203px;\"\u003e\n \u003cp\u003e0-2\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 203px;\"\u003e\n \u003cp\u003e1.456280279\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 203px;\"\u003e\n \u003cp\u003e6.116377\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"bottom\" style=\"width: 203px;\"\u003e\n \u003cp\u003e2 to 4\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 203px;\"\u003e\n \u003cp\u003e0.082417582\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 203px;\"\u003e\n \u003cp\u003e0.346154\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"bottom\" style=\"width: 203px;\"\u003e\n \u003cp\u003e4 to 6\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 203px;\"\u003e\n \u003cp\u003e0.667582418\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 203px;\"\u003e\n \u003cp\u003e2.803846\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"bottom\" style=\"width: 203px;\"\u003e\n \u003cp\u003e6 to 7.8\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 203px;\"\u003e\n \u003cp\u003e0.544304901\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 203px;\"\u003e\n \u003cp\u003e2.286081\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp\u003e\u0026chi;2=\u0026nbsp;14.30304294\u003c/p\u003e\n\u003cp\u003edf =\u0026nbsp;3\u003c/p\u003e\n\u003cp\u003ep =0.002520378\u003c/p\u003e\n\u003cp\u003eAs indicated by the consequence of this investigation, the base and greatest time of tests were 10 and 60 years individually with a mean of 16.8 and a standard deviation of 7.918. The age recurrence was 10.71% in10-20 yrs , 34.52% in 21-30 yrs, 23.81% in 31-40 yrs,16.67% in 41-50 yrs,14.29% in 51-60 yrs . 63.09 %were male and 36.91% were female. The reason for wounds was road traffic accidents(41.67%), fall from height(11.90%), assault(10.71%), slip and fall(29.76%), and penetrating injury(5.96%) and furthermore home mishaps and mishaps brought about by kids playing with risky articles. Out of this 23.8% had head and neck injury,29.76% had polytrauma,17.86% had spinal cord injury and abdomen injury,4.76% had upper extremity injuryand 5.95 had lower extremity injury\u003c/p\u003e\n\u003cp\u003eNine point five (9.5)%percent of the patients passed on inside the initial 24 h of hospitalization. 61.9%percent of them were shipped to medical clinic by crisis rescue(ambulance )vehicle .what\u0026apos;s more, 9.5%patients shipped by crisis medication, died in emergency room ( casualty) .5.9%, of them, released against clinical counsel 40.48% patients moved toward ward, 23.81%patients were moved to ICU likewise 8.3%patients shifted in ICU and 9.5% patients died in ward among these 73.81% patients were conscious 26.19%patients were unconscious. 23.81% patients were alcoholic and 76.19%patients were non-alcoholic\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e61.9% of patients were shipped to setback by rescue vehicle(ambulance) and 38.1% of patients by their vehicle. In this examination revised trauma score was 0-2 in 22.6%,2-4 in 17.8%,4-6 in 34.7%, 6-7.8 in 23.80% ,the most extreme no of patients with trauma \u0026nbsp;score was 4-6. The patient\u0026apos;s site of injury was contrasted and the death rate inside 24 hours of hospitalization. In table 1. Thus the p = 0.9 alpha= 0.05 no significiant relationship was found\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eGCS study has been made in table 2, to discover the consequences of the GCS and death rate with the assistance of the chi-square test. \u0026chi;2 = 9.75960591 ,df =2, p=0.0075985 . This examination presumed that there is a critical relationship found among GCS and death rate additionally it demonstrates with the bar graph\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eAdditionally, there was a critical connection between\u0026apos;s the revised traumascore with mortality of horrendous patients inside the initial 24 h of hospitalization (p=0.002), df=3, \u0026chi;2 =14.30304294( table 3). 0-4 RTS Score has greater death rate, A logistical regression analysis was acted in which passing was a dependent variable while systolic circulatory strain, respiratory rate, GCS score, and injury score were considered as indicator factors. The logistical regression results additionally demonstrated that a noteworthy inverse relationship existed between the death rate and the revised trauma score inside the initial 24 hours of hospitalization\u003c/p\u003e"},{"header":"Discussion","content":"\u003cp\u003eTrauma is a leading cause of mortality and morbidity all over the world, particularly among young adults and individuals in low- and middle-income countries [1,2]. Globally, injuries contribute significantly to the burden of disease, with road traffic accidents ranking among the top causes of injury-related deaths [5,6]Trauma-related injuries account for about 10% of all global mortality, with a considerable number of these deaths occurring during the first 24 hours after hospital admission, emphasizing the significance of early assessment and therapy. [6]\u0026nbsp;\u003cbr\u003e\u0026nbsp;\u003cbr\u003e\u0026nbsp;In this study, we examined the Revised Trauma Score (RTS) in connection to the 24-hours death rate among trauma patients who presented to the emergency department. The RTS, which includes the Glasgow Coma Scale (GCS), systolic blood pressure (SBP), and respiration rate (RR), is a valid instrument for predicting trauma severity and survival [11,12]. Its therapeutic efficacy has been proven across several research and is still a common component in trauma evaluation regimens [12,13]. The principle of the \"golden hour,\" which indicates early and adequate trauma care during the first 24 hours following injury, is critical for improving survival rates [7]. Our findings support this approach, since patients with lower RTS on admission had significantly higher 24-hour mortality rates. This connection is consistent with the fundamental trauma research, which identifies physiologic deterioration during the first few hours post-injury as a substantial predictor of early death [9].\u003c/p\u003e\n\u003cp\u003eTrauma scoring systems such as RTS and Injury Severity Score (ISS) help in triage, risk stratification, and the evaluation of trauma care[13, 19].While the ISS is an anatomical scoring system and requires comprehensive injury documentation, RTS offers an immediate and physiology-based assessment, making it especially valuable in acute care settings. This study confirms RTS as a practical and time-efficient tool for predicting early mortality , particularly when integrated with Advanced Trauma Life Support (ATLS) protocols [20]\u003c/p\u003e\n\u003cp\u003eRemarkably, our results showed that patients with RTS \u0026lt; 4 had an exceptionally high death rate during the first 24 hours, which validates earlier studies suggesting that lower RTS is directly linked with negative outcomes [17].\u003c/p\u003e\n\u003cp\u003eThe use of trauma scores for predicting early mortality carries significant implications for emergency medical services (EMS) and prehospital triage, indicating that the RTS might assist in making prompt referrals to trauma centers, particularly in developing nations where trauma systems are still in the process of maturation. [20].This corresponds with the worldwide appeal from the WHO for organized trauma systems and research-based strategies to decrease fatalities caused by injuries.[3,4,5]\u003c/p\u003e\n\u003cp\u003eAlthough this study has its strengths, it also comes with limitations, such as being conducted at a single center and possible inconsistencies in prehospital care. Nevertheless, the alignment of the findings with international trauma literature supports the credibility of RTS as an indicator of short-term mortality. [14].\u003c/p\u003e"},{"header":"Conclusion","content":"\u003cp\u003eThe Revised Trauma score is a reliable, simple and effective tool to predict early mortality among trauma patients. Its integration into emergency and trauma protocols, especially in the first 24 hours of care, may significantly enhance patient triage and outcomes, \u0026nbsp;Further studies should aim for multicenter validation and integration with electronic trauma registries for broader applicability\u003c/p\u003e"},{"header":"Declarations","content":"\u003cp\u003eEthics Approval Statement: The study was reviewed and approved by the Institutional Human Ethics Committee of , Chettinad Academy of Research and Education, Chennai, India (Approval No.743/IHEC/12-19) Participant Consent Statement: Written informed consent was obtained from all participants included in the study. For participants who were minors or unable to provide consent, consent was obtained from their legal guardians.\u003c/p\u003e\n\u003ch2\u003eAuthor Contribution\u003c/h2\u003e\u003cp\u003eS.K. conceptualized and designed the study. performed data collection and data entry. conducted the statistical analysis and interpreted the results.\u003c/p\u003e"},{"header":"References","content":"\u003col\u003e\n \u003cli\u003eNorton R, Kobusingye O. Injuries. N Engl J Med. 2013;368(18):1723\u0026ndash;30.\u003c/li\u003e\n \u003cli\u003ePeden M, McGee K, Sharma G. The injury chart book: a graphical overview of the global burden of injuries. Geneva: WHO; 2002.\u003c/li\u003e\n \u003cli\u003eMurray CJL, Lopez AD. Global Burden of Disease: A Comprehensive Assessment. Geneva: WHO; 1996.\u003c/li\u003e\n \u003cli\u003eWorld Health Organization. Global status report on road safety 2018. Geneva: WHO; 2018.\u003c/li\u003e\n \u003cli\u003eWHO. Road Traffic Injuries [Internet]. 2021 [cited 2025 May 20]. Available from: https://www.who.int/news-room/fact-sheets/detail/road-traffic-injuries\u003c/li\u003e\n \u003cli\u003eKrug EG, Sharma GK, Lozano R. The global burden of injuries. Am J Public Health. 2000;90(4):523\u0026ndash;6.\u003c/li\u003e\n \u003cli\u003eLerner EB, Moscati RM. The golden hour: scientific fact or medical \u0026ldquo;urban legend\u0026rdquo;? Acad Emerg Med. 2001;8(7):758\u0026ndash;60.\u003c/li\u003e\n \u003cli\u003eChampion HR, Sacco WJ, Copes WS, et al. A revision of the Trauma Score. J Trauma. 1989;29(5):623\u0026ndash;9.\u003c/li\u003e\n \u003cli\u003eBoyd CR, Tolson MA, Copes WS. Evaluating trauma care: the TRISS method. J Trauma. 1987;27(4):370\u0026ndash;8.\u003c/li\u003e\n \u003cli\u003eChampion HR, Copes WS, Sacco WJ. Trauma scoring. Crit Care Clin. 1989;5(1):83\u0026ndash;97.\u003c/li\u003e\n \u003cli\u003eTeasdale G, Jennett B. Assessment of coma and impaired consciousness. Lancet. 1974;304(7872):81\u0026ndash;4.\u003c/li\u003e\n \u003cli\u003eChampion HR, Sacco WJ, Copes WS, et al. A revision of the trauma score. J Trauma. 1989;29(5):623\u0026ndash;9.\u003c/li\u003e\n \u003cli\u003eBaker SP, O\u0026apos;Neill B, Haddon W Jr, Long WB. The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. J Trauma. 1974;14(3):187\u0026ndash;96.\u003c/li\u003e\n \u003cli\u003eRhee P, Joseph B, Pandit V, et al. Increasing trauma deaths in the United States: 2000\u0026ndash;2010. J Trauma Acute Care Surg. 2014;76(3):646\u0026ndash;50.\u003c/li\u003e\n \u003cli\u003eJenkins JL, McCarthy ML, Sauer LM, et al. Mass-casualty triage: time for an evidence-based approach. Prehosp Disaster Med. 2008;23(1):3\u0026ndash;8.\u003c/li\u003e\n \u003cli\u003eGarner A, Lee A, Harrison K, et al. Comparative analysis of multiple-casualty incident triage algorithms. Ann Emerg Med. 2001;38(5):541\u0026ndash;8.\u003c/li\u003e\n \u003cli\u003eMutschler M, Nienaber U, M\u0026uuml;nzberg M, et al. Revised injury severity classification II: a new approach to predict outcome in trauma patients. PLoS One. 2013;8(5):e67177.\u003c/li\u003e\n \u003cli\u003eGuyton AC, Hall JE. Textbook of Medical Physiology. 13th ed. Philadelphia: Elsevier; 2015.\u003c/li\u003e\n \u003cli\u003ePalmer C. Major trauma and the injury severity score\u0026mdash;where should we set the bar? Annu Proc Assoc Adv Automot Med. 2007;51:13\u0026ndash;29.\u003c/li\u003e\n \u003cli\u003eAli J, Adam R, Butler AK, et al. Trauma outcome improves following the advanced trauma life support program in a developing country. J Trauma. 1993;34(6):890\u0026ndash;8.\u003c/li\u003e\n\u003c/ol\u003e"}],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":false,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":true,"hideJournal":true,"highlight":"","institution":"","isAcceptedByJournal":false,"isAuthorSuppliedPdf":false,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":false,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true},"keywords":"Revised Trauma score, Mortality, Trauma, Glasgow coma scale","lastPublishedDoi":"10.21203/rs.3.rs-6963811/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-6963811/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003cp\u003e\u003cstrong\u003eBackground:\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eTrauma is the major health concern facing the world. Mortality rates have increased within the first 24 hours of hospitalization. Early assessment is important for effective management and mortality reduction. The RTS score (revised trauma score) consists of three components, which include the Glasgow Coma scale (GCS), Systolic blood pressure and breathing rate is effective tool for trauma assessment and outcomes. It is also used for mortality prediction. Few research studies have identified its relation with mortality.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eObjectives:\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThis study was to analyze the relationship between revised trauma score and mortality rate of traumatic patients within an initial 24 hours of hospitalization and to triage the patient according to their priority\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eMethods:\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe study was conducted at the Department of Emergency room and Trauma care technology by Chettinad university, Chennai.This studywas carried out for 1 year.A retrospective study analysis was carried out for 108 patients. This study includes participants with \u0026nbsp;Patients age above 10 years, polytrauma ,Road traffic accident , Fall from height,Spinal cord injury. This study exclude patients with Age below 10 years , Dead on arrival ,Transfer from another hospital, Mild Trauma, More than 24 hours of hospitalization.\u003c/p\u003e\n\u003cp\u003eThe purposive sampling technique have been used. \u0026nbsp;.The data was analysed by means inferential statistics such as Chi-square test, Logistic regression .A p - value \u0026lt; 0.05 was considered statistically significant.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eResults:\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eAccording to the analysis 63.09%of patients were male,36.91% of patients were female. 41.67% of patients with road traffic accidents was the significant reason and 29.76% of patients with \u0026nbsp;polytrauma was the significant site of injury\u003c/p\u003e\n\u003cp\u003e9.52%percent of horrendous patients died within 24 hours of hospitalization and greatest patients with the trauma score was 4 - 6. This indicates a critical connection between revised trauma score and mortality rate of traumatic patients within 24 hours of hospitalization (p= 0.002 )\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eConclusion:\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThis study shows that the Revised trauma score can be utilized as an apparatus to anticipate the mortality rate of traumatic patients\u003c/p\u003e","manuscriptTitle":"Analysis of Revised Trauma score with the mortality rate of injured patients within 24 hours of Hospitalization","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2025-06-29 14:48:25","doi":"10.21203/rs.3.rs-6963811/v1","editorialEvents":[{"type":"communityComments","content":0}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"49b0ffa8-ae8d-4610-adae-b8573c12e8c3","owner":[],"postedDate":"June 29th, 2025","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"posted","subjectAreas":[],"tags":[],"updatedAt":"2025-06-30T11:53:58+00:00","versionOfRecord":[],"versionCreatedAt":"2025-06-29 14:48:25","video":"","vorDoi":"","vorDoiUrl":"","workflowStages":[]},"version":"v1","identity":"rs-6963811","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-6963811","identity":"rs-6963811","version":["v1"]},"buildId":"XKTyCvWXoU3ODBz1xrDgd","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}