Value study of of APACHII score combined with procalcitonin detection in patients with severe multiple trauma

Objective: To investigate value of acute physiology and chronic health evaluation scoring system Ⅱ(APACHE Ⅱ)score and procalcitonin detection( PCT) in patients with severe multiple trauma. Methods: 35 patients with severe multiple trauma(ISS 16) were selected in this study. The APPACHEⅡ score and PCT were detected dynamically. These patients were divided into survival group( n = 25) and death group( n = 10) according to the prognosis 1 week later. The APPACHE Ⅱ score and PCT level were compared between the two groups. The correlation between the APPACHEⅡ score and PCT was analyzed,too. Results: There were no significant differences of the APPACHE Ⅱ score and PCT value between survival group and death group on the first day. In the death group,the APPACHE Ⅱ score and PCT values increased gradually,and were significantly higher than survival group in the fourth day and third day,respectively( P 0. 05). In the survival group,the APPACHE Ⅱ score and PCT values decreased after the peak value in the second day and until to the end of the treatment. The dynamic monitoring showed that the APACHE Ⅱ score had a positive correlation with the PCT level( P 0. 05). Conclusions: There is a positive correlation between the dynamically-monitored APACHE Ⅱ score and PCT level of the patients with severe multiple trauma. The combination of APACHE Ⅱ score and PCT can improve the assessment of the prognosis.