Comparison Of Trauma Scores For Predicting Mortality And Morbidity On Trauma Patients

Orhon, Reyhan; Eren, Şevki Hakan; Karadayı, Şule; Korkmaz, İlhan; Coşkun, Abuzer; Eren, Mehmet Nesimi; Katrancioglu, Nurkay

doi:10.5505/tjtes.2014.22725

Cited by 67 publications

(58 citation statements)

References 11 publications

(7 reference statements)

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“…[6] In a trauma patient, one of the major factors affecting mortality is the severity of the trauma. [4,7] Various scoring systems are utilized to evaluate injuries with an objective approach. Some of these scoring systems are anatomical, and some are based on physiological status.…”

Section: Discussionmentioning

confidence: 99%

“…In the calculation process, all injuries are identified, classified, and scored. [1][2][3][4] Frequently referenced scoring systems include the Abbreviated Injury Scale (AIS), the Injury Severity Score (ISS), and New Injury Severity Score (NISS). [1,4] This study provides a new approach to evaluating medical malpractice claim cases, not only for forensic medicine specialists, but also for academics from all specialties who may be called by the courts to be an expert witness to assist with determining any responsibility of the physician in the cause of death.…”

Section: Introductionmentioning

confidence: 99%

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Use of trauma scoring systems on determining the physicians’ responsibility in cases of traumatic death with medical malpractice claim

Arslan¹

2017

Ulus Travma Acil Cerrahi Derg

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BACKGROUND: Traumatic injury is near the top of World Health Organization list of leading causes of death, and one of the major factors affecting mortality is the severity of the trauma. During medical intervention for trauma patients, some injuries may be overlooked, and this misstep may be the basis of a malpractice claim. The objective of this study was to provide a new approach to evaluating medical malpractice cases by discussing the benefits of the use of trauma scores.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Use of trauma scoring systems on determining the physicians’ responsibility in cases of traumatic death with medical malpractice claim

Arslan¹

2017

Ulus Travma Acil Cerrahi Derg

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“…That physiological state can be assessed objectively by RTS with the assessment of GCS, systolic blood pressure and respiratory rate, which are regulated by the autonomic nervous system that may be affected by intracranial haemorrhage volume of head injury (Alqarni et al, 2011;Orhon et al, 2014;Mohyuddin et al, 2015;Takahashi et al, 2015).…”

Section: )mentioning

confidence: 99%

“…Parameters used to assess RTS are Glasgow Coma Scale (GCS), systolic blood pressure and respiratory rate ( Table 1). RTS has a range of values from 0 to 12 with four categorizations, such as delayed if the score is 12, urgent if the score is 11, immediate if the score is 3-10 and declared dead if the score is 0-3 (Rowland and Pedley, 2010;Alqarni et al, 2011;Sundstrøm et al, 2012;Orhon et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

“…RTS is an assessment that can be used to determine the action in emergency cases, including head injury with intracranial haemorrhage, so the planning diagnoses and therapy could be held properly (Alqarni et al, 2011;Orhon et al, 2014). Research on the relationship between the intracranial haemorrhage volume and RTS in cases of head injury has not been frequently studied before.…”

Section: Introductionmentioning

confidence: 99%

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Comparison of Revised Trauma Score Based on Intracranial Haemorrhage Volume among Head Injury Patients

Tito¹,

Saragih²,

Natalia³

2018

Prague Med. Rep.

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Head injury is one of the leading causes of mortality and morbidity at all ages and may develop into intracranial haemorrhage and increasing intracranial pressure. Pre-assessment must be conducted to head injury patients to decide the treatment plan. The aim of this study was to compare Revised Trauma Score (RTS) based on intracranial haemorrhage volume among head injury patients. This study was an analytic study with cross-sectional design where 31 patients were studied. The admission RTS and patients' status data were obtained from medical records at Dr. Abdul Aziz General Hospital, Singkawang, Indonesia and intracranial haemorrhage volume data were obtained from the head CT-scan. The data were analysed by Mann-Whitney U-test. The admission Revised Trauma Score rates were significantly different (95% CI, p=0.006) by intracranial haemorrhage volume which the RTS rate of less intracranial haemorrhage volume group was 11.40 ± 0.74 and the RTS rate of greater intracranial haemorrhage volume group was 10.13 ± 1.54. The greater intracranial haemorrhage volume showed the lower RTS value which means the worse physiological condition.

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Association of Tranexamic Acid Administration With Mortality and Thromboembolic Events in Patients With Traumatic Injury

et al. 2022

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IMPORTANCETranexamic acid is widely available and used off-label in patients with bleeding traumatic injury, although the literature does not consistently agree on its efficacy and safety. OBJECTIVE To examine the association of tranexamic acid administration with mortality and thromboembolic events compared with no treatment or with placebo in patients with traumatic injury in the literature. DATA SOURCES On March 23, 2021, PubMed, Embase, and the Cochrane Library were searched for eligible studies published between 1986 and 2021. STUDY SELECTION Randomized clinical trials and observational studies investigating tranexamic acid administration compared with no treatment or placebo among patients with traumatic injury and traumatic brain injury who were 15 years or older were included. Included studies were published in English or German. The electronic search yielded 1546 records, of which 71 were considered for full-text screening. The selection process was performed independently by 2 reviewers. DATA EXTRACTION AND SYNTHESIS The study followed the Cochrane Handbook for Systematic Reviews of Interventions and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Data were extracted by 2 independent reviewers and pooled using the inverse-variance random-effects model. MAIN OUTCOMES AND MEASURESOutcomes were formulated before data collection and included mortality at 24 hours and 28 and 30 days (1 month) as well as the incidence of thromboembolic events and the amount of blood products administered. Owing to missing data, overall mortality was added and the amount of blood products administered was discarded. RESULTSThirty-one studies with a total of 43 473 patients were included in the systematic review.The meta-analysis demonstrated that administration of tranexamic acid was associated with a significant decrease in 1-month mortality compared with the control cohort (risk ratio, 0.83 [95% CI, 0.71-0.97]; I 2 = 35%). The results of meta-analyses for 24-hour and overall mortality and thromboembolic events were heterogeneous and could not be pooled. Further investigations on clinical heterogeneity showed that populations with trauma and trial conditions differed markedly. CONCLUSIONS AND RELEVANCEThese findings suggest that tranexamic acid may be beneficial in various patient populations with trauma. However, reasonable concerns about potential thromboembolic events with tranexamic acid remain.

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Comparison Of Trauma Scores For Predicting Mortality And Morbidity On Trauma Patients

Cited by 67 publications

References 11 publications

Use of trauma scoring systems on determining the physicians’ responsibility in cases of traumatic death with medical malpractice claim

Use of trauma scoring systems on determining the physicians’ responsibility in cases of traumatic death with medical malpractice claim

Comparison of Revised Trauma Score Based on Intracranial Haemorrhage Volume among Head Injury Patients

Association of Tranexamic Acid Administration With Mortality and Thromboembolic Events in Patients With Traumatic Injury

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