Analysis of Revised Trauma Score with 24-hour mortality in trauma patients presenting to casualty: A 1-year retrospective study at a single tertiary care center.

Subashree Kumaresan

doi:10.36948/ijfmr.2026.v08i02.73547

Analysis of Revised Trauma Score with 24-hour mortality in trauma patients presenting to casualty: A 1-year retrospective study at a single tertiary care center.

Author(s)	Ms. Subashree Kumaresan
Country	India
Abstract	Purpose: The Revised Trauma score (RTS) has been extensively used as an early physiological indicator of injury severity and outcome prediction in trauma patients. However, evidence regarding its correlation with 24-hour mortality among trauma patients presenting to casualty in tertiary care center remains scarce in the literature. Methods: This retrospective cohort study included 108 trauma patients presenting to the emergency department of a single tertiary care center between January 2019 and January 2020. Data were collected from patient’s medical records at admission (age, Gender, trauma mechanism, vital signs, Glasgow Coma Scale [GCS], Revised Trauma Score [RTS] and at discharge ( survival or death). Results: The trauma patients who experienced mortality within 24-hour were predominantly male 56.4 % with an average age of 21-30 years. Motar Vehicle collision constituted the most common trauma mechanism 53.7%, followed by polytrauma 30.6%. Most critically ill patients had Revised Trauma Score (RTS) values between 2-3. Lower RTS demonstrated a significant correlation with 24-hour mortality (P=0.008). Mortality was significantly higher among patients with RTS ≤ 3 compared to those with RTS >3. Specifically, (70.8%) with RTS ≤ 3 died, whereas only(29.1%) with RTS >3 died. Conversely, survival was higher in patients with RTS>3,(58.3%) than in those with RTS ≤ 3, (41.6%). The finding was statistically significant (P=0.004), indicating that lower RTS is strongly associated with increased in-hospital mortality .Although gender did not directly correlate with mortality they played a confounding role Conclusions: The findings of this study can inform initial clinical management strategies for trauma patients presenting to casualty. Prompt assessment and intervention must be prioritized for patients with low revised trauma score (RTS), particularly those with RTS < 5, to reduce mortality within 24-hour. Early identification of high-risk patients with RTS can help for triage, resuscitation, and resource allocation in trauma centers.
Keywords	Multiple Trauma; Glasgow coma scale; Mortality; Survival rate; Emergency treatment
Field	Medical / Pharmacy
Published In	Volume 8, Issue 2, March-April 2026
Published On	2026-04-05
DOI	https://doi.org/10.36948/ijfmr.2026.v08i02.73547

View / Download PDF File

E-ISSN 2582-2160

doi

CrossRef DOI is assigned to each research paper published in our journal.

IJFMR DOI prefix is
10.36948/ijfmr

Downloads

Research Paper Format Copyright Permission Form and Undertaking Form Cover Page Vol 8 Isu 2 Cover Page Vol 8 Isu 1 Cover Page Vol 7 Isu 6

All research papers published on this website are licensed under Creative Commons Attribution-ShareAlike 4.0 International License, and all rights belong to their respective authors/researchers.

CC-BY-SA

About IJFMR Fees & Payment Current Issue Publication Archive	Submit Research Paper Track Submission Status Publication Guidelines Publication Ethics Peer Review & Plagiarism	Join as a Reviewer Editors & Reviewers Reviewer Referral Program Get Reviewer Membership Certi.	Website/Journal Policies Usage Policy Content Policies Privacy Policy

Contact Us		+91-9687-828-838	editor@ijfmr.com

International Journal For Multidisciplinary Research

A Widely Indexed Open Access Peer Reviewed Multidisciplinary Bi-monthly Scholarly International Journal

Analysis of Revised Trauma Score with 24-hour mortality in trauma patients presenting to casualty: A 1-year retrospective study at a single tertiary care center.

Share this