2687-0940Challenges in modern medicine2687-094010.52575/2687-0940-2025-48-2-239-247247SURGERY<strong>Program for Assessing the Severity of Patients with Traumatic Liver Injuries</strong><strong>Program for Assessing the Severity of Patients with Traumatic Liver Injuries</strong>VorontsovAleksey K.VorontsovAleksey K.ale92112855@yandex.ruParkhisenkоYury A.ParkhisenkоYury A.CherednikovEvgeniy F.CherednikovEvgeniy F.BarannikovSergey V.BarannikovSergey V.svbarannikov@rambler.ruEfronAleksandr G.EfronAleksandr G.BezaltynnykhAlexander A.BezaltynnykhAlexander A.SukharukovAlexander S.SukharukovAlexander S.TitarevValentin D.TitarevValentin D.BezaltynnykhEkaterina D.BezaltynnykhEkaterina D.202548200

The mortality rate for liver damage is currently at an extremely high level, reaching 58&nbsp;%. This is due to massive intra-abdominal hemorrhage and the development of hepatic cell insufficiency in the early postoperative period. We aim to develop a mobile application to assess the severity of pathophysiological changes and determine the severity of patients with traumatic liver injuries. Materials and methods. The program is implemented for smartphones and tablets, which allows on-line and offline assessment of personalized clinical features of patients with traumatic liver injuries, with an integrated assessment of the severity of the patient in order to determine the tactics of intensive care. Results. When creating a mobile application, the Electron.js framework was used as a technological basis for JavaScript. Conclusion. This solution provided cross-platform support: web technologies were used for desktop versions (Windows, macOS, Linux), and adaptation to mobile OS (iOS, Android) was implemented through a single code base. The widespread use of the developed mobile application in clinical practice will increase the effectiveness of medical care for patients with traumatic liver injuries, reduce the number of complications, and improve the quality of specialist training in emergency medical care.

The mortality rate for liver damage is currently at an extremely high level, reaching 58&nbsp;%. This is due to massive intra-abdominal hemorrhage and the development of hepatic cell insufficiency in the early postoperative period. We aim to develop a mobile application to assess the severity of pathophysiological changes and determine the severity of patients with traumatic liver injuries. Materials and methods. The program is implemented for smartphones and tablets, which allows on-line and offline assessment of personalized clinical features of patients with traumatic liver injuries, with an integrated assessment of the severity of the patient in order to determine the tactics of intensive care. Results. When creating a mobile application, the Electron.js framework was used as a technological basis for JavaScript. Conclusion. This solution provided cross-platform support: web technologies were used for desktop versions (Windows, macOS, Linux), and adaptation to mobile OS (iOS, Android) was implemented through a single code base. The widespread use of the developed mobile application in clinical practice will increase the effectiveness of medical care for patients with traumatic liver injuries, reduce the number of complications, and improve the quality of specialist training in emergency medical care.

traumatic liver injuriesclinical solutionsmobile applicationmedical informaticsscoring scaleseverity assessment criteriatraumatic liver injuriesclinical solutionsmobile applicationmedical informaticsscoring scaleseverity assessment criteriaСписок литературыAleksandrov V.V., Maskin S.S., Ermolaeva N.K., Matyuhin V.V. 2021. Conservative Management of Patients with Closed Trauma of Parenchymal Organs of the Abdominal Cavity and Retroperitoneal Space, with Retroperitoneal Hemorrhages &ndash; Indications, Methodology and Expediency. N.V. Sklifosovsky&#39;s journal &laquo;Emergency medical care&raquo;. 10(3): 540&ndash;547.Vojnovskij A.E., Semenenko I.A., Kupcov A.S. 2021. The Use of Innovative Technologies in the Treatment of Victims with Severe Combined Trauma with Liver Damage. Clinical Observation. Disaster Medicine. 4: 61&ndash;63.Grincov A.G., Antonyuk S.M., Ahrameev V.B., Lucenko Yu.G., Matijciv A.B. 2021. On the Issue of Treatment of Closed Liver Injuries. Bulletin of Emergency and Reconstructive Surgery. 6(1): 61&ndash;67.Kinzerskij A.A., Korzhuk M.S., Dolgih V.T., Chernenko S.V. 2021. Severe Closed Liver Injury New Experimental Facts. I.I. Dzhanelidze Emergency Surgery. 2(S2): 29&ndash;31.Maskin S.S., Aleksandrov V.V., Matyuhin V.V., Ermolaeva N.K. 2020. Closed Liver Injuries: The Algorithm of a Surgeon&#39;s Actions in a Level I Trauma Center. Politrauma. 2: 84&ndash;91.Pankratov A.A., Hat&#39;kov I.E., Izrailov R.E., Kapustin V.I., Mamonov D.A. 2015. The Possibility of Conservative Management of Closed and Open Liver Injury of Varying Severity. The Almanac of Clinical Medicine. 40: 132&ndash;137.Alanezi T., Altoijry A., Alanazi A., Aljofan Z., Altuwaijri T., Iqbal K., AlSheikh S., Molla N., Altuwaijri M., Aloraini A., Altuwaijri F., Aldossary M.Y. 2024. Management and Outcomes of Traumatic Liver Injury: A Retrospective Analysis from a Tertiary Care Center Experience. Healthcare (Basel). 12(2): 131. doi: 10.3390/healthcare12020131Coccolini F., Coimbra R., Ordonez C., Kluger Y., Vega F., Moore E. 2020. Liver Trauma: WSES 2020 Guidelines. World J. Emerg. Surg. 15. 24: 15&ndash;24.Fijačko N., Masterson Creber R., Gosak L., Kocbek P., Cilar L., Creber P., &Scaron;tiglic G. 2021. A Review of Mortality Risk Prediction Models in Smartphone Applications. J. Med. Syst. 45(12): 107.Iida A., Ryuko T., Kemmotsu M., Ishii H., Naito H., Nakao A. 2020. Three-Year-Old Traumatic&nbsp;Liver&nbsp;Injury&nbsp;Patient Treated Successfully Using Transcatheter Arterial Embolization. Int. J. Surg. Case. Rep. 70: 205&ndash;208. https://doi.org/10.1016/j.ijscr.2020.04.036Jung H., Jeon C., Seo S. 2023. Clinical Role of Interventional Radiology in Abdominal Solid Organ Trauma. J. Korean Soc. Radiol. 84(4): 824&ndash;834. doi: 10.3348/jksr.2023.0046Ordo&ntilde;ez C., Parra M., Mill&aacute;n M., Caicedo Y., Guzm&aacute;n-Rodr&iacute;guez M., Padilla N., Salamea-Molina J., Garc&iacute;a&nbsp;A., Gonz&aacute;lez-Hadad A., Pino L., Herrera M. 2021. Damage Control in Penetrating Liver Trauma: Fear of the Unknown. Colombia M&eacute;dica. 51(4): e4134365.Ahmed S., Mohammed M., Abdulqadir S., El-Kader R., El-Shall N., Chandran D., Rehman M., Dhama K. 2023. Road Traffic Accidental Injuries and Deaths: A Neglected Global Health Issue. Health Sci. Rep. 6(5): e1240. doi: 10.1002/hsr2.1240. PMID: 37152220Taghavi S., Askari R. 2023. Liver Trauma. StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing. PMID: 30020608. https://pubmed.ncbi.nlm.nih.gov/30020608/