Admission to the Emergency Department with a traffic accident evaluation of the effect of GCS (Glaskow Coma Scale), RTS (Revised Trauma Score) and Cramps (Circulation, Respiration, Abdominal, Motor and Speech) Scores on Deceleration, hospitalization and mortality in patients aged 18-65

Scientific studies and measures are needed to reduce the loss of life caused by traffic accidents. In this study, we aimed to compare the predictive powers of GCS, RTS and CRAMS scores for hospital admission, discharge and short- and long-term mortality. In this study, we aimed to compare the predictive powers of GCS, RTS and CRAMS scores for hospital admission, discharge and short- and long-term mortality. Thus, rapid evaluation of patients admitted to the emergency department due to a traffic accident, faster identification of the patient group that will require hospitalization and at high risk of mortality and faster access to treatment services can be ensured. Patients between the ages of 18-65 years who were admitted to the emergency department of Pamukkale University Faculty of Medicine Hospital due to traffic accidents were included in the study. The data of this study were obtained prospectively after obtaining consent from the patients themselves or their relatives. Systolic blood pressure (mmHg), diastolic blood pressure (mmHg), mean arterial blood pressure (mmHg), pulse rate (beats/min), saturation (%), respiratory rate (/min), GCS, RTS and CRAMS scores and the departments consulted in the emergency department were recorded. The majority of our patients were male with 65,9% and 49,3% were in the age group of 18-30 years. The most common traumas were extremity traumas followed by head and thorax traumas. Orthopedics department was consulted the most, followed by neurosurgery and thoracic surgery departments. In the emergency department, 1% of the patients died, 76% were discharged and 15,6% were hospitalized. The 30-day mortality rate of our patients was 2,7%. PAN-CT was performed more in patients with AITK and X-RAY imaging was performed more in patients with ADTK. Emergency department and 30-day mortality rates of patients with AITK were statistically significantly higher than those of patients with ADTK. The mortality rates of patients with head, thorax and abdomen injuries were statistically significantly higher (p<0,050). GCS, RTS and CRAMS scores were found to be lower in patients who had undergone high-energy trauma than in those who had undergone low-energy trauma. The mortality rate of patients undergoing AITK is high compared to patients undergoing ADTK, and the CRAMS score has an advantage over the GCS and RTS scores in determining this mortality rate. According to our study, the CRAMS score showed a higher sensitivity to predicting 30-day mortality in the emergency department and in trauma patients compared to the GCS and RTS scores. We think that studies with more patient numbers should be conducted to investigate the effect of trauma scores on discharge, hospitalization and mortality of trauma patients. Keywords: In-vehicle Traffic accident, Out-of-vehicle Traffic accident, GKS, RTS, CRAMS, Emergency service