The role of the New Trauma and Injury Severity Score (NTRISS) for survival prediction

Domingues, Cristiane de Alencar; Sousa, Regina Márcia Cardoso de; Nogueira, Lilia de Souza; Poggetti, Renato Sérgio; Fontes, Belchor; Muñoz, Daniele

doi:10.1590/s0080-62342011000600011

Cited by 32 publications

(59 citation statements)

References 16 publications

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“…41 Clearly, however, fluid resuscitation that results in a MAP greater than 80 to 90 mm Hg before surgical hemostasis is associated with increased bleeding. 26 Several pathophysiologial factors are responsible. Increased intravascular volume affects active bleeding by hindering clotting.…”

Section: Discussionmentioning

confidence: 99%

“…The mortality rate (7.3%) was the same for both groups of patients. However, comparison of Injury Severity Scores 26 indicated that patients in the low group (scores, [16][17][18][19][20][21][22][23][24] were more severely injured (P = .02) than were patients in the conventional group (scores, 9-15). Thus, permissive hypotensive resuscitation may benefit restoration of blood circulation and cause a modest increase in blood pressure (reducing the risk of additional blood loss due to continued bleeding or rebleeding) with minimal fluid requirements.…”

Section: Studies Of Permissive Hypotension In Humansmentioning

confidence: 94%

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Permissive Hypotension in Bleeding Trauma Patients: Helpful or Not and When?

Gourgiotis

Gemenetzis

Kocher

et al. 2013

Critical Care Nurse

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T rauma remains the leading cause of mortality among persons 1 to 44 years old in the United States 1 and accounts for almost 9% of total mortality worldwide. 2 In 2008 a total of 663000 injury-related deaths occurred in Europe (6.9% of total deaths). 2 Uncontrolled bleeding and exsanguination are the leading cause of preventable death after trauma 3 and require early detection of potential bleeding sources and prompt action to minimize blood loss, restore tissue perfusion, and achieve a stable hemodynamic status. Permissive Hypotension in CNE Continuing Nursing EducationCover Severity of hemorrhage and rate of bleeding are fundamental factors in the outcomes of trauma. Intravenous administration of fluid is the basic treatment to maintain blood pressure until bleeding is controlled. The main guideline, used almost worldwide, Advanced Trauma Life Support, established by the American College of Surgeons in 1976, calls for aggressive administration of intravenous fluids, primarily crystalloid solutions. Several other guidelines, such as Prehospital Trauma Life Support, Trauma Evaluation and Management, and Advanced Trauma Operative Management, are applied according to a patient's current condition. However, the ideal strategy remains unclear. With permissive hypotension, also known as hypotensive resuscitation, fluid administration is less aggressive. The available models of permissive hypotension are based on hypotheses in hypovolemic physiology and restricted clinical trials in animals. Before these models can be used in patients, randomized, controlled clinical trials are necessary. (Critical Care Nurse. 2013;33[6]:18-25)

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Section: Discussionmentioning

confidence: 99%

Section: Studies Of Permissive Hypotension In Humansmentioning

confidence: 94%

Permissive Hypotension in Bleeding Trauma Patients: Helpful or Not and When?

Gourgiotis

Gemenetzis

Kocher

et al. 2013

Critical Care Nurse

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show abstract

“…This system has existed since 1971 (2,(4)(5) and is being reviewed by the Association for the Advancement of Automotive Medicine (3,(6)(7) . The overall severity of multiple injuries can be determined from the AIS classification of each injury by calculating the Injury Severity Score(ISS) (6)(7)(8)(9)(10) and the New Injury Severity Score (NISS) (5,10) .…”

Section: Introductionmentioning

confidence: 99%

Measuring trauma severity using the 1998 and 2005 revisions of the Abbreviated Injury Scale

Lopes

Whitaker

2014

Rev. esc. enferm. USP

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Objetivo: Comparar a gravidade das lesões e do trauma mensurada pelas versões da Abbreviated Injury Scale 1998 e 2005 e verificar a mortalidade nos escores Injury Severity Score e New Injury Severity Score nas duas versões.Método: Estudo transversal e retrospectivo analisou lesões de pacientes de trauma, de três hospitais universitários do município de São Paulo, Brasil. Cada lesão foi codificada com Abbreviated Injury Scale 1998 e 2005. Os testes estatísticos aplicados foram Wilcoxon, McNemar-Bowker, Kappa e teste Z.Resultados: A comparação das duas versões resultou em discordância significante de escores em algumas regiões corpóreas. Com a versão 2005 os níveis de gravidade da lesão e do trauma foram significantemente reduzidos e a mortalidade foi mais elevada em escores mais baixos. Conclusão: Houve redução da gravidade da lesão e do trauma e alteração no percentual de mortalidade com o uso da Abbreviated Injury Scale 2005.

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“…Both pancreatic and duodenal injuries consist of 5% of all abdominal injuries and mortality rates still remain high. The sensitivity of computed tomography (CT) in detecting pancreaticoduodenal injuries is 75.7% (1). Serum amylase and lipase levels are not reliable in predicting the severity of pancreatic trauma.…”

Section: Introductionmentioning

confidence: 99%

Travmatik hepato-pankreatiko-duodenal yaralanmalara güncel yaklaşım: Olgu sunumu ve literatüre bakış

Öztürk¹,

Yenıay²,

Ünalp³

et al. 2014

Ege Tıp Dergisi

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SummaryTraumatic pancreaticoduodenal injuries still have a high mortality rate and the treatment remains challenging for surgeons. Damage control has become an important part of trauma care nowadays. This approach is useable only in selected groups of trauma patients.An 18-year-old male was referred to our department because of motorcycle accident. Abdominal computed tomography (CT) demonstrated bilateral pleural effusion, a laceration in the right kidney, retroperitoneal hematoma, free air nearby the duodenum, complete transection of the pancreatic head and second portion of duodenum, and multiple lacerations in the right liver lobe. On laparotomy, the right lobe of the liver was divided with multiple lacerations. There was complete transection of the pancreatic head and second portion of the duodenum. We performed a right hepatectomy and whipple procedure. The patient was discharged from the hospital on the 31th postoperative day and has been stable and healthy during the one-year follow-up period.Traumatic pancreatic injuries are generally associated with other abdominal injuries. Several surgical treatment options can be considered for pancreaticoduodenal injuries. Damage control surgery is the modern approach in severe trauma patients. However, in selected patients, definitive surgery can be the optimal choice because of a one step approach, but patient selection must be performed carefully.

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The role of the New Trauma and Injury Severity Score (NTRISS) for survival prediction

Cited by 32 publications

References 16 publications

Permissive Hypotension in Bleeding Trauma Patients: Helpful or Not and When?

Permissive Hypotension in Bleeding Trauma Patients: Helpful or Not and When?

Measuring trauma severity using the 1998 and 2005 revisions of the Abbreviated Injury Scale

Travmatik hepato-pankreatiko-duodenal yaralanmalara güncel yaklaşım: Olgu sunumu ve literatüre bakış

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