ABC of major trauma. Scoring systems for trauma.

Yates, David

doi:10.1136/bmj.301.6760.1090

Cited by 78 publications

(44 citation statements)

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“…However, two scores are widely used in injury registries in the industrialized countries, the Revised Trauma Score (RTS) and the Injury Severity Score (ISS) [14]. The combination of these two scores along with age was developed by Champion et al [18] into a prognostic score for estimating probability of survival, the Trauma Score and Injury Severity Score (TRISS) method.…”

Section: Introductionmentioning

confidence: 99%

A Comparison of the Kampala Trauma Score (KTS) with the Revised Trauma Score (RTS), Injury Severity Score (ISS) and the TRISS Method in a Ugandan Trauma Registry

Macleod

Kobusingye

Frost

et al. 2003

European Journal of Trauma

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Background:The public health significance of injuries that occur in developing countries is now recognized. In 1996, as part of the injury surveillance registry in Kampala, Uganda, a new score, the Kampala Trauma Score (KTS) was instituted. The KTS, developed in light of the limited resource base of sub-Saharan Africa, is a simplified composite of the Revised Trauma Score (RTS) and the Injury Severity Score (ISS) and closely resembles the Trauma Score and Injury Severity Score (TRISS). Patients and Methods:The KTS was applied retrospectively to a cohort of prospectively accrued urban trauma patients with the RTS, ISS and TRISS calculated. Using ROC (receiver operating characteristics) analysis, logistic regression models and sensitivity and specificity cutoff analysis, the KTS was compared to these three scores. Results: Using logistic regression models and areas under the ROC curve, the RTS proved a more robust predictor of death at 2 weeks in comparison to the KTS. However, differences in screening performance were marginal (areas under the ROC curves were 87% for the RTS and 84% for the KTS) with statistical significance only reached for an improved specificity (67% vs. 47%; p < 0.001), at a fixed sensitivity of 90%. In addition, the KTS predicted hospitalization at 2 weeks more accurately. Conclusion:The KTS statistically performs comparably to the RTS and ISS alone as well as to the TRISS but has the added advantage of utility. Therefore, the KTS has potential as a triage tool in resource-poor and similar health care settings.

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Section: Introductionmentioning

confidence: 99%

A Comparison of the Kampala Trauma Score (KTS) with the Revised Trauma Score (RTS), Injury Severity Score (ISS) and the TRISS Method in a Ugandan Trauma Registry

Macleod

Kobusingye

Frost

et al. 2003

European Journal of Trauma

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“…In contrast, isolated lower limb injuries are rarely life threatening but may be associated with prolonged periods of disability and handicap. 4 We used data from the National Child Development Study to assess the risk of disability associated with different types of unintentional injury.…”

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confidence: 99%

Injuries and the risk of disability in teenagers and young adults.

Barker

Power

Roberts

1996

Archives of Disease in Childhood

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Objective-To examine the risk of disability from unintentional injury in teenagers and young adults. Methods -Analyses of data from the National Child Development Study, a follow up study of 98% of all children born in England, Scotland, and Wales in one week in March, 1958. In 1981 537 study participants, 76% of the original cohort, were asked about unintentional injuries since age 16 years requiring hospital treatment, and whether these injuries resulted in permanent disability. Results-62% of men and 26% of women reported at least one accident since age 16 resulting in injury that required hospital treatment. Of these accidents, 3.2% caused permanent disability. The risk of disability increased with accident frequency. Injuries requiring hospital admission carried the highest risk of disability (9.7%). However, 54% of permanent disability reported by men and 74% reported by women resulted from injuries treated as outpatients. Road traffic accidents caused 42% of admissions and 31% of disability. Fractures constituted 21% of all injuries but were responsible for 32% of permanent disabilities. Of the permanent disabilities resulting from work related accidents, 82% involved the hand. Of the permanent disabilities resulting from accidents in the home, 32% involved the hand. Conclusions -The targeting of prevention strategies towards the major causes of injury mortality may have a smaller impact on population levels of injury related disability. Non-life threatening injuries, in particular injuries to the hand and limb fractures, resulting from accidents in the workplace, the home, and during sports, make a significant contribution to the prevalence of permanent injury related disability in young adults. (Arch Dis Child 1996;75:156-158)

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“…In the head injury was important to determine the outcome of trauma in patients. In the RTS component, the GCS had limitations in scoring measurements on intubated patients and assisted by ventilators [5,6].…”

Section: Methodsmentioning

confidence: 99%

“…In addition, patients who are under the influence of alcoholic beverages or drugs and drug abuse affecting the central nervous system will also have difficulties in scoring assessments as well as mentally ill patients [5,6]. In this study, when the RTS scores were tested using chi-square test, p = 0.000, p <α = 0.05, OR = 2,390, (95% confidence = 1.893-3.019), P = 70.5%…”

Section: Methodsmentioning

confidence: 99%

“…GCS is used in measuring the functional status of the central nervous system. In head injuries, it is important to determine the outcome of trauma in patients [5,6]. In this study, when the GAP scoring test to the RTS scores in calculating the patient's initial assessment of GCS, systolic blood pressure and age.…”

Section: Gap Scoring In Predicting Mortality Of Head Injury Patients mentioning

confidence: 99%

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Effectivity Rts And Gap To Predict Mortality Patients Of Head Injury At Emergency Ward Of Ulin Hospital Banjarmasin

Rahman¹,

Kahfi²,

Santoso³

et al. 2017

Proceedings of the 2nd Sari Mulia International Conference on Health and Sciences 2017 (SMICHS 2017)

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Objective: The purpose of this study to know affectivity of RTS (Revised Trauma Score) and GAP (GCS, Age, Blood Systolic Pressure) to predict mortality patients of head injury at Emergency Ward in Ulin Hospita Banjarmasin Method: The methods in the study were cross-sectional. The data were taken from a medical record from 1 January -31 March 2016. Data collected based on the results of trauma scoring. Outcomes (died and life) recorded in the first 24 hours since the patient has entered the hospital. The data were analyzed by using chi-square test. Results : 109 patients of head injury came to the emergency room of Ulin Hospital Banjarmasin approximately 36, 5 years old and 11 patients were died (10%). Prediction mortality with scoring RTS p = 0.000, OR = 2.390, probabilities = 70.5% (95 % CI = 1.893 -3.019). While a prediction with scoring GAP p = 0.000, OR = 41.550, probability = 97.6% (95 % CI = 5.589 -308.876). Conclusion: Scoring GAP was more effective than RTS to predict mortality patients of a head injury in the emergency ward within 24 hours with probabilities about 97.6% compared to the RTS that had a about 70.5 % probability.

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ABC of major trauma. Scoring systems for trauma.

Cited by 78 publications

References 0 publications

A Comparison of the Kampala Trauma Score (KTS) with the Revised Trauma Score (RTS), Injury Severity Score (ISS) and the TRISS Method in a Ugandan Trauma Registry

A Comparison of the Kampala Trauma Score (KTS) with the Revised Trauma Score (RTS), Injury Severity Score (ISS) and the TRISS Method in a Ugandan Trauma Registry

Injuries and the risk of disability in teenagers and young adults.

Effectivity Rts And Gap To Predict Mortality Patients Of Head Injury At Emergency Ward Of Ulin Hospital Banjarmasin

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