ABSTRACT

Introduction : Hemorrhagic shock remains a leading cause of early mortality in polytraumatized patients. Early identification of high-risk patients is essential to optimize management and improve outcomes.
Materials and Methods : Retrospective review 200 polytraumatized patients admitted to a surgical ICU
Results : This retrospective study included 200 polytraumatized patients admitted with systolic blood pressure < 90 mmHg between 2020 and 2023. Patients were predominantly young and male. Abdominal and cranial injuries were the most frequent. Clinical severity markers included tachycardia, hypoxia, low Glasgow Coma Scale, urinary disturbances, and hypothermia. Severe anemia (hemoglobin < 5 g/dL), thrombocytopenia, and coagulation abnormalities were significantly associated with mortality. Overall mortality was 37.5%. Discussion : Poor prognosis was associated with age, trauma severity, abdominal or cranial injury, shock index > 0.9, neurological impairment, hypothermia, and major biological abnormalities. These findings are consistent with existing literature and highlight the importance of early severity assessment.
Conclusion : Early recognition of prognostic factors and optimization of prehospital and hospital trauma care are crucial to reduce mortality from hemorrhagic shock in polytraumatized patients.

KEYWORDS

Hemorrhagic shock / Polytrauma / Prognostic factors / Mortality / Massive transfusion / Prehospital care

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