Assessment of Abdominal Trauma Penetrating Index for Detecting of Patients' Morbidity and Mortality

Assessment of Abdominal Trauma Penetrating Index for Detecting of Patients’ Morbidity and Mortality Abdel Amer WK, Jasim DM, Abdul Ameer G JMSP 2022; 8 (3):67-82, doi: 10.5281/jmsps.6887698 Background: The Penetrating Abdominal Trauma Index used to identify trauma patients at risk of postoperative complications. Methods of trauma quantification have been extensively developed but their outcome evaluations have been naïve, subject only to basic statistical analyses. Objective : To evaluate PATI for predicting the morbidity and mortality in penetrating abdominal trauma. Patient and Methods: This was a prospective study over an 11-month period; patients with penetrating abdominal trauma who underwent laparotomy were enrolled. Initial assessment of the patients was done following the ATLS guidelines. Patients were stratified on the basis of those who developed complications, no complications and postoperative Mortality. PATI was calculated based on operative findings and the outcomes were measured on the basis of complications or mortality in the postoperative period. Results: Eighty-nine consecutive patients underwent laparotomy for abdominal trauma, 39 for built wounds and 50for shells wounds. Patients with complications scored a mean PATI of 21.47; those who died scored a mean PATI of 25.29. ROC curve analysis of PATI scores in patients who developed complications showed results of 42.1%. Conclusion: The statistical evaluation of trauma scores should be performed using an adequate methodology to avoid naive evaluations. ROC curve evaluation of this trauma score index allows a comprehensive study of the instrument’s performance avoids data simplification and permits cross analysis of different trauma score indexesHow to cite this article: Abdel Amer WK, Jasim DM, Abdul Ameer G. Assessment of Abdominal Trauma Penetrating Index for Detecting of Patients' Morbidity and Mortality. JMSP 2022; 8 (3):67-82. doi: 10.5281/jmsps.688769