Performance of physiology scoring systems in prediction of in-hospital mortality of traumatic children: A prospective observational study

Nakhjavan-Shahraki, Babak; Yousefifard, Mahmoud; Faridaalaee, Gholamreza; Shahsavari, Kavous; Oraii, Alireza; Hajighanbari, Mohammad Javad; Karimi, Parviz; Mahdizadeh, Fatemeh; Abiri, Samaneh; Hosseini, Mostafa

doi:10.1016/j.jcot.2017.08.001

Cited by 5 publications

(4 citation statements)

References 20 publications

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“…The AUC for the GCS for the prediction of in-hospital mortality was 0.89 27 . In a study of 104,035 records of pediatric trauma aged 1 to 18 years with 3946 deaths, the AUC of the GCS for mortality prediction was 0.946 28 , which was much closer to that of our study (AUC of GCS for mortality: 0.954) 29 .…”

Section: Discussionsupporting

confidence: 84%

Comparison of nine trauma scoring systems in prediction of inhospital outcomes of pediatric trauma patients: a multicenter study

Khavandegar,

Salamati,

Zafarghandi

et al. 2024

Sci Rep

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Hereby, we aimed to comprehensively compare different scoring systems for pediatric trauma and their ability to predict in-hospital mortality and intensive care unit (ICU) admission. The current registry-based multicenter study encompassed a comprehensive dataset of 6709 pediatric trauma patients aged ≤ 18 years from July 2016 to September 2023. To ascertain the predictive efficacy of the scoring systems, the area under the receiver operating characteristic curve (AUC) was calculated. A total of 720 individuals (10.7%) required admission to the ICU. The mortality rate was 1.1% (n = 72). The most predictive scoring system for in-hospital mortality was the adjusted trauma and injury severity score (aTRISS) (AUC = 0.982), followed by trauma and injury severity score (TRISS) (AUC = 0.980), new trauma and injury severity score (NTRISS) (AUC = 0.972), Glasgow coma scale (GCS) (AUC = 0.9546), revised trauma score (RTS) (AUC = 0.944), pre-hospital index (PHI) (AUC = 0.936), injury severity score (ISS) (AUC = 0.901), new injury severity score (NISS) (AUC = 0.900), and abbreviated injury scale (AIS) (AUC = 0.734). Given the predictive performance of the scoring systems for ICU admission, NTRISS had the highest predictive performance (AUC = 0.837), followed by aTRISS (AUC = 0.836), TRISS (AUC = 0.823), ISS (AUC = 0.807), NISS (AUC = 0.805), GCS (AUC = 0.735), RTS (AUC = 0.698), PHI (AUC = 0.662), and AIS (AUC = 0.651). In the present study, we concluded the superiority of the TRISS and its two derived counterparts, aTRISS and NTRISS, compared to other scoring systems, to efficiently discerning individuals who possess a heightened susceptibility to unfavorable consequences. The significance of these findings underscores the necessity of incorporating these metrics into the realm of clinical practice.

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Section: Discussionsupporting

confidence: 84%

Comparison of nine trauma scoring systems in prediction of inhospital outcomes of pediatric trauma patients: a multicenter study

Khavandegar,

Salamati,

Zafarghandi

et al. 2024

Sci Rep

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“…refinement of the revised trauma score (RTS) parameters that were used to determine the prognosis. [14][15][16] Another score created in 2004 is the modified rapid emergency medicine score (mREMS), which incorporates age, systolic blood pressure (SBP), heart rate (HR), RR, SpO 2 , and GCS. 17,18 This investigation will help the healthcare system to plan to reduce mortality in the elderly by choosing efficient methods to assess patients' prognoses.…”

Section: Original Articlementioning

confidence: 99%

The Predictive Value of mREMS and NTS Scores in the Hospital Outcomes of Elderly Patients With a Traffic Accident

Mostafaei,

Balafar,

Paknezhad

et al. 2023

Int J Aging

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Objectives: To investigate the predictive value of two novel scores, including the modified rapid emergency medicine score (mREMS) and new trauma score (NTS), in the outcome of hospitalized elderly patients with traffic injuries. Design: Descriptive-analytical cross-sectional study. Setting(s): Tabriz, the capital of East Azerbaijan province, northwestern Iran. Participants: Over 65 years old patients being injured in traffic accidents were included in the current study and divided into three groups. Logistic regression analysis was used to determine the predictive value of mREMS and NTS scores in elderly patients with traffic accidents. Outcome measures: NTS is based on a revision of the revised trauma score (RTS) parameters, which includes replacing the Glasgow coma scale (GCS) score with the GCS code and the number of breaths per minute with blood oxygen saturation (SpO2 ). The mREMS includes age, systolic blood pressure (SBS), heart rate (HR), respiratory rate (RR), SpO2 , and GCS. Results: Totally, 243 elderlies with road traffic injuries were enrolled in this study. The mREMS score in male patients showed a significant difference, and the odds ratio (OR) in these patients was 1.5 (95% confidence interval [CI]=1.15-1.95, P<0.05). Based on the results, the NTS significantly differed in male patients, and the OR in these patients was 0.97 (95% CI=0.95- 0.99, P<0.05). The NTS had similar discrimination to mREMS in the prediction of elderly patients’ severity of trauma (hospitalization or discharge). In cut-off point 7.5, the sensitivity of mREMS and specificity were 71% and 53%, respectively. In cut-off point 216, the sensitivity and specificity of NTS were 84% and 47%, respectively. Conclusions: mREMS and NTS have a moderate degree of predictive usefulness for older patients who have sustained many traumas. It is advised that this problem should be further assessed accurately by a thorough investigation.

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“…RTS evalúa tres parámetros: evaluación neurológica mediante la escala de coma de Glasgow (GCS); evaluación hemodinámica por la presión arterial sistólica (PAS); y frecuencia respiratoria (FR). Su importancia radica en su poder predictivo sobre la mortalidad de los heridos en caso de emergencias masivas donde el gran número de víctimas impone el uso de una escala matemática rápida y fiable [16][17].…”

Section: Introductionunclassified

Puntuación de trauma revisado como predictor de mortalidad intrahospitalaria en pacientes politraumatizados atendidos en el Hospital Belén de Trujillo, Perú

Macedo Pinedo,

Villena Ruiz

2023

Acta Med Peru

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Objetivo: Determinar si el score de trauma revisado es predictor de mortalidad intrahospitalaria en pacientes politraumatizados atendidos en el Hospital Belén de Trujillo. Material y métodos: Se realizó un estudio observacional, analítico, retrospectivo, transversal de pruebas diagnósticas, se identificaron pacientes que fueron admitidos por politraumatismo y fueron hospitalizados en el Departamento de Cirugía General durante el periodo comprendido entre enero del 2017 a diciembre del 2021; en una muestra de 100 pacientes se evaluó la mortalidad. Resultados: La edad promedio fue 47,18 ± 20,40 vs 41,13 ± 18,37 en aquellos que fallecieron y sobrevivieron; el 55% y 63,33% de los fallecidos y sobrevivientes fueron varones en los grupos de estudio. La coagulopatía, acidosis metabólica y SRIS estuvieron asociadas a la mortalidad. Se observó una proporción de 72,50% y 3,33% de RTS < 6 en los pacientes politraumatizados que fallecieron y sobrevivieron (p = 0,001); se obtuvieron valores de sensibilidad: 73% IC 95% [59% - 86%], especificidad: 97% IC 95% [92% - 100%], valor predictivo positivo: 94% IC 95% [85% - 100%] y valor predictivo negativo: 84% IC 95% [75% - 93%]. El área bajo la curva fue del 96,50% en la predicción de mortalidad por el RTS en pacientes con politraumatismo. Conclusión: El score de trauma revisado es un buen predictor de mortalidad en politraumatizados.

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Performance of physiology scoring systems in prediction of in-hospital mortality of traumatic children: A prospective observational study

Cited by 5 publications

References 20 publications

Comparison of nine trauma scoring systems in prediction of inhospital outcomes of pediatric trauma patients: a multicenter study

Comparison of nine trauma scoring systems in prediction of inhospital outcomes of pediatric trauma patients: a multicenter study

The Predictive Value of mREMS and NTS Scores in the Hospital Outcomes of Elderly Patients With a Traffic Accident

Puntuación de trauma revisado como predictor de mortalidad intrahospitalaria en pacientes politraumatizados atendidos en el Hospital Belén de Trujillo, Perú

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