Validation of thoracic injury rule out criteria as a decision instrument for screening of chest radiography in blunt thoracic trauma

Safari, Saeed; Yousefifard, Mahmoud; Baikpour, Masoud; Rahimi-Movaghar, Vafa; Abiri, Samaneh; Falaki, Masoomeh; Mohammadi, Neda; Ghelichkhani, Parisa; Jafari, Ali; Hosseini, Mostafa

doi:10.1016/j.jcot.2016.02.005

Cited by 8 publications

(4 citation statements)

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“…19 General calibration was assessed by drawing calibration plot which compared observed versus predicted mortality per decile of the linear predictor of the models. Additionally, overall performance was assessed by measurement of Brier score, scaled reliability and Nagelkerke's R 2 . In all analyses p < 0.05 was considered significant.…”

Section: Discussionmentioning

confidence: 99%

“…Using scoring systems is the most emphasized method in many articles. [1][2][3][4][5][6] For this purpose; researchers have designed different scoring systems and have done modifications on them to improve their efficacy and accuracy. [7][8][9] Using scoring systems helps in treatment and management of traumatic patients more accurately and according to their priority…”

Section: Introductionmentioning

confidence: 99%

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

Nakhjavan-Shahraki

Yousefifard

Faridaalaee

et al. 2017

Journal of Clinical Orthopaedics and Trauma

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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

Nakhjavan-Shahraki

Yousefifard

Faridaalaee

et al. 2017

Journal of Clinical Orthopaedics and Trauma

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“…These clinical models can aid in predicting the outcome and proper screening of patients regarding their need for complimentary diagnostic and therapeutic measures. [10111213141516] Risk Stratification of Syncope in the Emergency Department (ROSE), Boston, Osservatorio Epidemiologico sulla Sincope nel Lazio (OESIL), and San Francisco are among the specifically designed models for syncope. [51718] Since many of these models are newly developed, their value and probable limitations should be addressed before being widely used.…”

Section: Introductionmentioning

confidence: 99%

Comparison of different risk stratification systems in predicting short-term serious outcome of syncope patients

et al. 2016

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Background:Determining etiologic causes and prognosis can significantly improve management of syncope patients. The present study aimed to compare the values of San Francisco, Osservatorio Epidemiologico sulla Sincope nel Lazio (OESIL), Boston, and Risk Stratification of Syncope in the Emergency Department (ROSE) score clinical decision rules in predicting the short-term serious outcome of syncope patients.Materials and Methods:The present diagnostic accuracy study with 1-week follow-up was designed to evaluate the predictive values of the four mentioned clinical decision rules. Screening performance characteristics of each model in predicting mortality, myocardial infarction (MI), and cerebrovascular accidents (CVAs) were calculated and compared. To evaluate the value of each aforementioned model in predicting the outcome, sensitivity, specificity, positive likelihood ratio, and negative likelihood ratio were calculated and receiver-operating curve (ROC) curve analysis was done.Results:A total of 187 patients (mean age: 64.2 ± 17.2 years) were enrolled in the study. Mortality, MI, and CVA were seen in 19 (10.2%), 12 (6.4%), and 36 (19.2%) patients, respectively. Area under the ROC curve for OESIL, San Francisco, Boston, and ROSE models in prediction the risk of 1-week mortality, MI, and CVA was in the 30–70% range, with no significant difference among models (P > 0.05). The pooled model did not show higher accuracy in prediction of mortality, MI, and CVA compared to others (P > 0.05).Conclusion:This study revealed the weakness of all four evaluated models in predicting short-term serious outcome of syncope patients referred to the emergency department without any significant advantage for one among others.

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“…Різні дослідники використовували різні дози церулоплазміну, причому більшість авторів відзначають, що слабовиражений клінічний ефект церулоплазміну пов'язаний із запровадженням занадто обмежених доз, недостатніх для значного поліпшення лабораторних і клінічних показників. Прикладом цього є той факт, що з часу першого терапевтичного застосування ЦП рекомендована доза (15 мг) була збільшена в 10 разів [33].…”

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Modern Approaches to Intensive Therapy of Patients with Thoracic Trauma in Politrauma

Boyko¹,

Volkova²,

Baranova³

2021

Ukr. ž. med. bìol. sportu

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The review article presents data on the modern possibilities of intensive care for patients with thoracic trauma in case of polytrauma. It should be noted that over the past 5 years, the number of patients with thoracic injuries in polytrauma who require intensive care in the intensive care unit has increased by 10 times. For their treatment, advanced intensive care methods are used, but, despite this, the mortality rate of this category of patients remains one of the highest, reaching 80%. Moreover, it is combined thoracic trauma that plays a leading role in thanatogenesis. Studying the clinical manifestations of thoracic trauma in patients with polytrauma will help to improve the quality of medical care and the results of treatment of such patients. One of the reasons for the high mortality and disability of patients with thoracic trauma during polytrauma is the lack of a single integrated pathogenetic approach to assessing the severity of the condition of patients and the tactics of intensive care. The values of direct damage to internal organs, the main vessels of the chest and mediastinum in the development of a number of formidable complications are not fully defined, and it is not clearly stated in which cases support for vital functions is needed or their replacement. In the practice of conducting intensive care with thoracic trauma on the background of software in different institutions, often opposite methods and approaches to tactics of conducting intensive care are used. This indicates that the problem of intensive care patients of this contingent is far from being solved and is of certain scientific and practical interest. The role of primary and secondary injuries in combined thoracic trauma has not been studied, the boundaries of compensatory and adaptive reactions have not been determined. Moreover, there is no single concept for intensive care patients with thoracic trauma during polytrauma. This type of damage is accompanied by deep disorders of homeostasis systems, which determine the severity of the clinical course and cause a high level of complications and disability. Unsatisfactory results of intensive care are often associated with insufficient ideas about the pathogenesis of the early post-traumatic period in patients with polytrauma, which leads to errors in determining the volume, timing, feasibility and sequence of intensive care. Conclusion. We believe that the improvement of treatment outcomes for this category of patients can be achieved only with a comprehensive, objectively substantiated approach to the choice of intensive care tactics, focused on the clinical features of thoracic trauma on the background of polytrauma

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Validation of thoracic injury rule out criteria as a decision instrument for screening of chest radiography in blunt thoracic trauma

Cited by 8 publications

References 11 publications

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

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

Comparison of different risk stratification systems in predicting short-term serious outcome of syncope patients

Modern Approaches to Intensive Therapy of Patients with Thoracic Trauma in Politrauma

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