Predictors of Mortality in Hemorrhagic Shock among Polytraumatized Patients

Introduction : Hemorrhagic shock remains a leading cause of early mortality in polytraumatized patients. Early identification ofhigh-risk patients is essential to optimize management and improve outcomes.Materials and Methods : Retrospective review 200 polytraumatized patients admitted to a surgical ICUResults : This retrospective study included 200 polytraumatized patients admitted with systolic blood pressure < 90 mmHg between2020 and 2023. Patients were predominantly young and male. Abdominal and cranial injuries were the most frequent. Clinicalseverity 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. Overallmortality was 37.5%.Discussion : Poor prognosis was associated with age, trauma severity, abdominal or cranial injury, shock index > 0.9, neurologicalimpairment, hypothermia, and major biological abnormalities. These findings are consistent with existing literature and highlightthe importance of early severity assessment.Conclusion : Early recognition of prognostic factors and optimization of prehospital and hospital trauma care are crucial to reducemortality from hemorrhagic shock in polytraumatized patients.