Prognostication of probable lethality terms for victims with closed intra-abdominal polytrauma using the MODS-ІІ scale

Kryliuk V.^{1, 2}, Ivanov V.², Kuzmin V.¹, Dorosh V.³

¹P. L. Shupik National Medical Academy of Postgraduate Education, Kyiv, Ukraine

²GI «Ukrainian Scientifi c and Practical Center of Emergency and Disaster Medicine of Health Ministry of Ukraine», Kyiv, Ukraine 3Kiev City Hospital of Emergency Medicine, Kyiv, Ukraine

Summary. The randomized simultaneous retrospective study of results obtained following the treatment of 119 victims with closed abdominal polytrauma has determined the value of abdominal perfusion pressure index as a functionally signifi cant predictor clarifying the beginning of the organic dysfunction development in victims. Qualimetric evaluation of victim condition severity using the MODS-ІІ scale and the index of abdominal perfusion pressure permits to determine the terms of probable lethality already during the early hospitalization stage.

Keywords: abdominal trauma, abdominal perfusion pressure (APP), MODS-ІІ scale, polyorganic defi ciency syndrome (PODS).