Scoring system for traumatic liver injury (SSTLI) in polytraumatic patients: a predictor of mortality

Kim, H. H.; Kim, J. H.; Park, C.-Y.; Cho, H. M.

doi:10.1007/s00068-014-0454-z

Cited by 2 publications

(8 citation statements)

References 30 publications

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“…In the case of patients with trauma and chronic liver disease, chronic liver disease scoring systems such as the Child-Turcotte-Pugh system or the model for end-stage liver disease can be useful predictors of hepatic complications and the overall prognosis [17,18]. Hence, we developed the SSTLI in 2015 for traumatic liver injury based on the Child-Pugh scoring system (Table 1) [15,19]. The SSTLI employs five clinical measures (serum total bilirubin, prothrombin time, serum creatinine, age, and the ISS) [15].…”

Section: Discussionmentioning

confidence: 99%

“…Hence, we developed the SSTLI in 2015 for traumatic liver injury based on the Child-Pugh scoring system (Table 1) [15,19]. The SSTLI employs five clinical measures (serum total bilirubin, prothrombin time, serum creatinine, age, and the ISS) [15]. Each risk factor is assigned a point value.…”

Section: Discussionmentioning

confidence: 99%

“…We published a study on the SSTLI in 2015 using patients' laboratory values and initial history data [15]. As shown in Table 1, the SSTLI uses five clinical measures (age, ISS, serum total bilirubin level, prothrombin time, and creatinine level), and each measure was scored from 0 to 1 (age and ISS) or from 0 to 3 (serum total bilirubin level, prothrombin time, and creatinine level).…”

Section: Components Of the Sstlimentioning

confidence: 99%

“…The Acute Physiology and Chronic Health Evaluation Score [11], Injury Severity Score (ISS) [12], Revised Trauma Score [13], and Trauma and Injury Severity Score [14] are used to determine the severity and prognosis of injuries. However, these scoring systems are not specific to liver trauma; they are specific to various other types of injuries [15].…”

Section: Introductionmentioning

confidence: 99%

“…Given the lack of a liver-specific scoring system despite the importance of liver trauma treatment, we published a study that examined prognostic factors in patients with polytrauma and liver injury and developed a scoring system for traumatic liver injury (SSTLI) to predict mortality in 2015 [15]. This study aimed to validate the SSTLI as a prognostic factor in patients with polytrauma and liver injury.…”

Section: Introductionmentioning

confidence: 99%

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Validity of the scoring system for traumatic liver injury: a generalized estimating equation analysis

et al. 2022

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Purpose: The scoring system for traumatic liver injury (SSTLI) was developed in 2015 to predict mortality in patients with polytraumatic liver injury. This study aimed to validate the SSTLI as a prognostic factor in patients with polytrauma and liver injury through a generalized estimating equation (GEE) analysis. methods: The medical records of 521 patients with traumatic liver injury from January 2015 to December 2019 were reviewed. The primary outcome variable was in-hospital mortality. All the risk factors were analysed using multivariate logistic regression analysis. The SSTLI has five clinical measures (age, Injury Severity Score [ISS], serum total bilirubin level, prothrombin time, and creatinine level) chosen based on their predictive power. Each measure is scored as 0-1 (age and ISS) or 0-3 (serum total bilirubin level, prothrombin time, and creatinine level). The SSTLI score corresponds to the total points for each item (0-11 points). results: The areas under the curve of the SSTLI to predict mortality on post-traumatic days 0, 1, 3, and 5 were 0.736, 0.783, 0.830, and 0.824, respectively. A very good to excellent positive correlation was observed between the probability of mortality and the SSTLI score (γ=0.997, p<0.001). A value of 5 points was used as the threshold to distinguish low-risk (<5) from high-risk (≥5) patients. Multivariate analysis using the GEE in the logistic regression model indicated that the SSTLI score was an independent predictor of mortality (odds ratio 1.027; 95% confidence interval 1.018-1.036; p<0.001). Conclusions: The SSTLI was verified to predict mortality in patients with polytrauma and liver injury. A score of ≥5 on the SSTLI indicated a high risk of post-traumatic mortality.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Components Of the Sstlimentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Validity of the scoring system for traumatic liver injury: a generalized estimating equation analysis

et al. 2022

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Liver Trauma: Management in the Emergency Setting and Medico-Legal Implications

et al. 2022

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Traumatic abdominal injuries are life-threatening emergencies frequently seen in the Emergency Department (ED). The most common is liver trauma, which accounts for approximately 5% of all ED admissions for trauma. The management of blunt liver trauma has evolved significantly over the past few decades and, according to the injury’s severity, it may require massive resuscitation, radiological procedures, endoscopy, or surgery. Patients admitted to the ED with blunt abdominal trauma require a multidisciplinary evaluation, including emergency physicians, surgeons, radiologists, and anesthetists, who must promptly identify the extent of the injury to prevent serious complications. In case of a patient’s death, the execution of a forensic examination carried out with a multidisciplinary approach (radiological, macroscopic, and histological) is essential to understand the cause of death and to correlate the extent of the injuries to the possibility of survival to be able to manage any medico-legal disputes. This manuscript aims to collect the most up-to-date evidence regarding the management of hepatic trauma in the emergency room and to explore radiological findings and medico-legal implications.

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Scoring system for traumatic liver injury (SSTLI) in polytraumatic patients: a predictor of mortality

Abstract: The SSTLI may be available to predict mortality in polytraumatic patients with liver injury, although external validation is needed before widespread implementation.

Cited by 2 publications

References 30 publications

Validity of the scoring system for traumatic liver injury: a generalized estimating equation analysis

Validity of the scoring system for traumatic liver injury: a generalized estimating equation analysis

Liver Trauma: Management in the Emergency Setting and Medico-Legal Implications

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