Comparison of the efficacy of trauma scores in predicting prognosis and hospitalization
Öz
Purpose: The aim of this study was to compare the efficacy of ISS (injury Severity Score), RTS (Revised Trauma Score) and ViEWS (VitalPAC Early Warning Score) scoring systems in predicting prognosis and mortality.
Materials and Methods: Patients over the age of 18 who presented with multitrauma were prospectively examined between May 1, 2019 and November 1, 2019. Trauma scores, clinical outcomes within the first 24 hours, surgery requirement and 30-day mortality data were recorded.
Results: The study included 435 patients, of whom 333 (76.6%) were male. The median age was 34 (IQR: 18-90) years. It was observed that ISS, RTS and ViEWS had a significant relationship with 30-day mortality. In the ROC analysis of 30-day mortality, no statistically significant difference was observed between the ISS, RTS, and ViEWS AUC values. There was also no statistically significant difference in terms of the ISS, RTS and ViEWS according to the length of hospital stay and surgery requirement.
Conclusion: In addition to their relationship with mortality, it should be kept in mind that the investigated scoring systems may also be related to the length of hospital stay and surgery requirement.
Anahtar Kelimeler
ISS, RTS, VİEWS, trauma, trauma scores
Kaynakça
- 1)Hietbrink F, Koenderman L, Rijkers GT, Leenen LPH. Trauma: the role of the innate immune system. World J Emerg Surg. 2006;20(1):15. Doi:10.1186/1749-7922-1-15.
- 2)Keel M, Trentz O. Pathophysiology of polytrauma. Injury. 2005;36(6):691-709. Doi:10.1016/j.injury.2004.12.037.
- 3) Mariani A, Casella G, Aseni P. From Trauma Scoring System to Early Appropriate Care. Operative Techniques and Recent Advances in Acute Care and Emergency Surgery. 2019:129-40. https://doi.org/10.1007/978-3-319-95114-0_9.
- 4)Gofrit ON, Leibovici D, Shapiro SC, Shemer J, Stein M, Michaelson M. The trimodal death distribution of trauma victims: military experience from the LebanonWar. Mil Med. 1997;162(1):24-6. https://doi.org/10.1093/milmed/162.1.24.
- 5)Bouzat P, Broux C, Ageron FX, F Thony, C Arvieux, J Tonetti et al. Trauma network for severely injured patients. Ann FrAnesth Reanim. 2013;32(7-8):531-4. Doi: 10.1016/j.annfar.2013.07.014.
- 6)Joosse P, Soedarmo S, Luitse JS, Ponsen KJ. Trauma outcome analysis of a Jakarta University Hospital using the TRISS method: validation and limitation in comparison with the major trauma outcome study. Trauma and Injury Severity Score. J Trauma. 2001;51(1):134-40. Doi:10.1097/00005373-200107000-00021.
- 7)Baker SP, O'Neill B, Haddon W Jr, Long WB. The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. J Trauma. 1974;14(3):187-96.
- 8)Champion HR, Sacco WJ, Copes WS, Gann DS, Gennarelli TA, Flanagan ME. A revision of the trauma score. J Trauma. 1989;29(5):623-9. Doi:10.1097/00005373-198905000-00017.
- 9) Shi j, Shen J, Zhu M, Wheeler KK, Lu B, Kenney B et al. A new weighted injury severity scoring system: beter predictive power for adult trauma mortality. Injury Epidemiology. 2019; 6:40. https://doi.org/10.1186/s40621-019-0217-8.
- 10)Haider AA, Azim A, Rhee PM, Kulvatunyou N, Ibraheem K, Tang A et al. Substituting systolic blood pressure with shock index in the National Trauma Triage Protocol. J Trauma Acute Care Surg. 2016;81(6):1136-41. https://doi.org/10.1097/TA.0000000000001205.
