A comparison of the trauma score, the revised trauma score, and the pediatric trauma score

Eichelberger, Martin R.; Gotschall, Catherine S.; Sacco, William J.; Bowman, Leon M.; Mangubat, E. Antonio; Lowenstein, Adam

doi:10.1016/s0196-0644(89)80930-8

Cited by 97 publications

(59 citation statements)

References 17 publications

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“…This score has been shown to have good intraobserver reproducibility, is easy to use in children, and has been shown to correlate significantly with outcome in other traumatic injuries. 16,17 …”

Section: Clinical Detailsmentioning

confidence: 99%

Late Neurologic and Cognitive Sequelae of Inflicted Traumatic Brain Injury in Infancy

Barlow

Thomson

Johnson³

et al. 2005

Pediatrics

298

175

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ABSTRACT.Objective. There is limited information regarding the long-term outcome of inflicted traumatic brain injury (TBI), including shaken infant syndrome. The purpose of this study was to describe the long-term neurologic, behavioral, and cognitive sequelae seen in this population.Methods. A cross-sectional and prospective longitudinal study was conducted of 25 children with inflicted TBI in Scotland between 1980 and 1999. After consent was obtained, neurologic and cognitive examinations were performed on all participants and sequentially in the prospective cohort. Two global outcome measures were used: Glasgow Outcome Score (GOS) and Seshia's outcome score. Cognitive outcome was assessed using the Bayley Scales of Infant Development, British Ability Scales, and the Vineland Adaptive Behavior Scales.Results. The mean length of follow-up was 59 months. A total of 68% of survivors were abnormal on follow-up, 36% had severe difficulties and were totally dependant, 16% had moderate difficulties, and 16% had mild difficulties on follow-up. A wide range of neurologic sequelae were seen, including motor deficits (60%), visual deficits (48%), epilepsy (20%), speech and language abnormalities (64%), and behavioral problems (52%). There was a wide range of cognitive abilities: the mean psychomotor index, 69.9 (SD: ؎25.

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Section: Clinical Detailsmentioning

confidence: 99%

Late Neurologic and Cognitive Sequelae of Inflicted Traumatic Brain Injury in Infancy

Barlow

Thomson

Johnson³

et al. 2005

Pediatrics

298

175

View full text Add to dashboard Cite

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“…This could relieve a caregiver of the computational task, or offer a double check when less experienced caregivers (e.g., basic life support) are making difficult triage decisions (e.g., nonurban settings with significant transport times). Given an automated functionality, it would be more practical for emergency medical systems to routinely incorporate physiologic scores in their triage methodologies (presumably in conjunction with other criteria, given the limitations of triage by RTS or PHI alone [3][4][5] ).…”

Section: Potential Clinical Effectivenessmentioning

confidence: 99%

“…The best-known include Champion's Revised Trauma Score (RTS) 1 and the Prehospital Index (PHI) 2 ; these scores are generated from formulas into which are entered a set of physiologic measurements. Although their discriminatory power is moderate, [3][4][5] prehospital severity scores can in principle be useful tools for civilian triage methodologies, for military triage 6 and for triage after a mass casualty incident. 7 Of course, severity scores can be no more accurate than the physiologic measurements input into the formulas.…”

Section: Introductionmentioning

confidence: 99%

Automatically-Computed Prehospital Severity Scores are Equivalent to Scores Based on Medic Documentation

Reisner

Chen

McKenna

et al. 2008

Journal of Trauma: Injury, Infection &Amp; Critical Care

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Methods:In a retrospective analysis of trauma casualties transported by air ambulance, we computed the Triage Revised Trauma Score (RTS) from archived travel monitor data. We compared the areas-under-the-curve (AUC's) of receiver operating characteristic curves for prediction of mortality and red blood cell transfusion for 187 subjects with comparable quantities of good-quality and poorquality data.Results: Vital signs deemed reliable by SQI's led to significantly more discriminatory severity scores than vital signs deemed unreliable. We also compared automatically-computed RTS (using the SQI's) versus RTS computed from vital signs documented by medics. For the subjects in whom the SQI algorithms identified 15 consecutive seconds of reliable vital signs data (n ‫؍‬ 350), the automaticallycomputed scores' AUC's were the same as the medic-based scores' AUC's. Using the Prehospital Index in place of RTS led to very similar results, corroborating our findings. Conclusions: SQI algorithms improveautomatically-computed severity scores, and automatically-computed scores using SQI's are equivalent to medic-based scores.

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“…The validity of the pediatric Glasgow Coma Score (GDC), Trauma Score, Revised Trauma Score, and the Pediatric Trauma Score (PTS) has been proven. [6][7][8] Developed in 1987 by Tepas et al 9 the PTS is patterned after the evaluation process of the Advanced Trauma Life Support (ATLS), and it is specifically designed for the triage of children with traumatic injury. 5 It is the sum of six parameters incorporating size as a surrogate for age and vital signs plus organ-specific injury data.…”

Section: Introductionmentioning

confidence: 99%

The Performance of the Pediatric Trauma Score in a Pediatric Emergency Department: A Prospective Study

Anıl¹,

Sarıtaş²,

Bıcılıoğlu³

et al. 2017

cayd

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Introduction:The aim of this study was to assess the efficacy of the Pediatric Trauma Score (PTS) in predicting significant trauma in patients presenting with blunt trauma to a high-level pediatric emergency department. Methods: Patients younger than 15 years of age presenting to the pediatric emergency department of the Tepecik Training and Research Hospital with acute high-energy blunt trauma were analyzed prospectively. The PTS was calculated on arrival at the pediatric emergency department. The patients were classified into two groups as follows: patients with a PTS of ≤8 comprised the significant trauma group, while patients with a PTS of >8 made up the non-significant trauma group. Results: Two-hundred-thirteen children with a mean age of 6.1±3.9 years (range: 10 days-15 years) were included in the study. The frequency of coagulation testing and thorax computed tomography in the pediatric emergency department, need for critical interventions and therapies in the pediatric emergency department, rate of hospitalization, need for transfer to the pediatric intensive care unit, mechanical ventilation, operation, blood transfusion, and mortality rate were statistically higher in the significant trauma group (p<0.05). PTS ≤8 exhibited a sensitivity of 56.2% and a specificity of 90.8% for hospitalization (AUROC: 0.682; 95% confidence interval: 0.610-0.755). The PTS was significantly correlated with length of hospital stay (r=-0.493; p<0.001) and length of observation in the pediatric emergency department (r=-0.442; p<0.01). Conclusion: PTS on arrival at a high-level pediatric emergency department is a good predictor of the need for critical interventions/ therapies and mortality in children with high-energy blunt trauma. However, its accuracy is moderate for the prediction of hospitalization. Keywords: Pediatric Trauma Score, high-energy trauma, mortality, hospitalization Amaç: Çalışmanın amacı, üst düzey bir çocuk acil servisine künt yüksek enerjili travma nedeniyle başvuran çocuklardaki ciddi travmayı öngörmede, Pediyatrik Travma Skoru'nun (PTS) etkin olup olmadığının araştırılmasıdır. Yöntemler: Akut künt yüksek enerjili travma nedeniyle Tepecik Eğitim ve Araştırma Hastanesi'ne başvuran 15 yaşından küçük çocuklar ileriye yönelik olarak incelendi. PTS yaralı acil servise geldiği anda hesaplandı. Hastalar iki gruba ayrıldı: PTS ≤8 (ciddi travma) ve PTS >8 (ciddi olmayan travma). Bulgular: İki yüz on üç çocuk (ortalama yaş: 6,1±3,9 yıl; en küçük: 10 gün -en büyük: 15 yıl) çalışmaya alındı. Acil serviste koagülasyon testi ve toraks tomografisi sıklığı, acil serviste kritik girişim ve tedavi gereksinimi, hastaneye yatış oranı, yoğun bakım gereksinimi, mekanik ventilatör gereksinimi, ameliyat, kan transfüzyonu, ölüm sıklığı PTS ≤8 grubunda daha fazlaydı (p<0,05). PTS ≤8'in duyarlılığı %56,2; özgüllüğü %90,8 (AUROC: 0,682; %95 CI: 0,610-0,755) olarak hesaplandı. PTS hastanede yatış süresi (r=-0,493; p<0,001) ve acil serviste izlenme süresi (r=-0,442; p<0,01) ile anlamlı korelasyon göstermekteydi. Sonuç: Künt yüksek en...

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A comparison of the trauma score, the revised trauma score, and the pediatric trauma score

Cited by 97 publications

References 17 publications

Late Neurologic and Cognitive Sequelae of Inflicted Traumatic Brain Injury in Infancy

Late Neurologic and Cognitive Sequelae of Inflicted Traumatic Brain Injury in Infancy

Automatically-Computed Prehospital Severity Scores are Equivalent to Scores Based on Medic Documentation

The Performance of the Pediatric Trauma Score in a Pediatric Emergency Department: A Prospective Study

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