Year 2020, Volume 33 , Issue 3, Pages 107 - 112 2020-10-23

Comparison of the predictive utility of Revised Trauma Score, Emergency Trauma Score, and Glasgow Coma Scale-Age-Pressure scores for emergency department mortality in multiple trauma patients

Melis EFEOGLU SACAK [1] , Haldun AKOGLU [2] , Ozge ONUR [3] , Arzu DENIZBASI [4]


Objective: In this study, we aimed to compare the utility of Revised Trauma Score (RTS), Glasgow Coma Scale, Age, and Systolic Blood Pressure (GAP) scores, and Emergency Trauma Score (EMTRAS) in multiple trauma patients for the prediction of mortality in the emergency department (ED). Materials and Methods: In this observational diagnostic accuracy study, a consecutive convenience sample of all adult patients (older than 16 years) with multiple trauma (injuries confined to at least two body regions) admitted to the trauma bay of the ED during the shifts of the researchers was used. Presence of ED mortality was recorded, and RTS, EMTRAS, and GAP scores were calculated at the analysis stage of this study. Results: The study sample included 279 multiple trauma patients. Of the 279 patients, 13 (4.7%) died in the ED. Among the 266 patients who survived to hospital admission, 3 were lost to-follow-up (foreigner patients). In the following 30 days, 28 more patients were lost, 23 in the Intensive Care Unit (ICU) (23/62, 37.1%), 4 in the wards (4/131, 3.1%), and 1 after discharge (1/73, 0.1%). The prognostic accuracies (AUC) of RTS, EMTRAS, and GAP were 0.92, 0.94, and 0.93, respectively, for ED mortality. Conclusion: In this study, all trauma scores performed similar in the ED for the prediction of ED mortality.
RTS, EMTRAS, GAP, Trauma, Score, Mortality
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Primary Language en
Subjects Medicine
Journal Section Articles
Authors

Orcid: 0000-0002-8446-9898
Author: Melis EFEOGLU SACAK
Institution: Marmara University
Country: Turkey


Orcid: 0000-0002-1316-0308
Author: Haldun AKOGLU
Institution: Marmara University
Country: Turkey


Orcid: 0000-0002-0110-3533
Author: Ozge ONUR
Institution: Marmara University
Country: Turkey


Orcid: 0000-0002-4589-8251
Author: Arzu DENIZBASI
Institution: Marmara University
Country: Turkey


Dates

Publication Date : October 23, 2020

Bibtex @research article { marumj815526, journal = {Marmara Medical Journal}, issn = {1019-1941}, eissn = {1309-9469}, address = {}, publisher = {Marmara University}, year = {2020}, volume = {33}, pages = {107 - 112}, doi = {10.5472/marumj.815526}, title = {Comparison of the predictive utility of Revised Trauma Score, Emergency Trauma Score, and Glasgow Coma Scale-Age-Pressure scores for emergency department mortality in multiple trauma patients}, key = {cite}, author = {Efeoglu Sacak, Melis and Akoglu, Haldun and Onur, Ozge and Denızbası, Arzu} }
APA Efeoglu Sacak, M , Akoglu, H , Onur, O , Denızbası, A . (2020). Comparison of the predictive utility of Revised Trauma Score, Emergency Trauma Score, and Glasgow Coma Scale-Age-Pressure scores for emergency department mortality in multiple trauma patients . Marmara Medical Journal , 33 (3) , 107-112 . DOI: 10.5472/marumj.815526
MLA Efeoglu Sacak, M , Akoglu, H , Onur, O , Denızbası, A . "Comparison of the predictive utility of Revised Trauma Score, Emergency Trauma Score, and Glasgow Coma Scale-Age-Pressure scores for emergency department mortality in multiple trauma patients" . Marmara Medical Journal 33 (2020 ): 107-112 <https://dergipark.org.tr/en/pub/marumj/issue/57487/815526>
Chicago Efeoglu Sacak, M , Akoglu, H , Onur, O , Denızbası, A . "Comparison of the predictive utility of Revised Trauma Score, Emergency Trauma Score, and Glasgow Coma Scale-Age-Pressure scores for emergency department mortality in multiple trauma patients". Marmara Medical Journal 33 (2020 ): 107-112
RIS TY - JOUR T1 - Comparison of the predictive utility of Revised Trauma Score, Emergency Trauma Score, and Glasgow Coma Scale-Age-Pressure scores for emergency department mortality in multiple trauma patients AU - Melis Efeoglu Sacak , Haldun Akoglu , Ozge Onur , Arzu Denızbası Y1 - 2020 PY - 2020 N1 - doi: 10.5472/marumj.815526 DO - 10.5472/marumj.815526 T2 - Marmara Medical Journal JF - Journal JO - JOR SP - 107 EP - 112 VL - 33 IS - 3 SN - 1019-1941-1309-9469 M3 - doi: 10.5472/marumj.815526 UR - https://doi.org/10.5472/marumj.815526 Y2 - 2020 ER -
EndNote %0 Marmara Medical Journal Comparison of the predictive utility of Revised Trauma Score, Emergency Trauma Score, and Glasgow Coma Scale-Age-Pressure scores for emergency department mortality in multiple trauma patients %A Melis Efeoglu Sacak , Haldun Akoglu , Ozge Onur , Arzu Denızbası %T Comparison of the predictive utility of Revised Trauma Score, Emergency Trauma Score, and Glasgow Coma Scale-Age-Pressure scores for emergency department mortality in multiple trauma patients %D 2020 %J Marmara Medical Journal %P 1019-1941-1309-9469 %V 33 %N 3 %R doi: 10.5472/marumj.815526 %U 10.5472/marumj.815526
ISNAD Efeoglu Sacak, Melis , Akoglu, Haldun , Onur, Ozge , Denızbası, Arzu . "Comparison of the predictive utility of Revised Trauma Score, Emergency Trauma Score, and Glasgow Coma Scale-Age-Pressure scores for emergency department mortality in multiple trauma patients". Marmara Medical Journal 33 / 3 (October 2020): 107-112 . https://doi.org/10.5472/marumj.815526
AMA Efeoglu Sacak M , Akoglu H , Onur O , Denızbası A . Comparison of the predictive utility of Revised Trauma Score, Emergency Trauma Score, and Glasgow Coma Scale-Age-Pressure scores for emergency department mortality in multiple trauma patients. Marmara Med J. 2020; 33(3): 107-112.
Vancouver Efeoglu Sacak M , Akoglu H , Onur O , Denızbası A . Comparison of the predictive utility of Revised Trauma Score, Emergency Trauma Score, and Glasgow Coma Scale-Age-Pressure scores for emergency department mortality in multiple trauma patients. Marmara Medical Journal. 2020; 33(3): 107-112.
IEEE M. Efeoglu Sacak , H. Akoglu , O. Onur and A. Denızbası , "Comparison of the predictive utility of Revised Trauma Score, Emergency Trauma Score, and Glasgow Coma Scale-Age-Pressure scores for emergency department mortality in multiple trauma patients", Marmara Medical Journal, vol. 33, no. 3, pp. 107-112, Oct. 2020, doi:10.5472/marumj.815526