دورية أكاديمية
أعرض في EDS

Comparing NEWS2, TRISS, and RTS in predicting mortality rate in trauma patients based on prehospital data set: a diagnostic study.

التفاصيل البيبلوغرافية
العنوان: Comparing NEWS2, TRISS, and RTS in predicting mortality rate in trauma patients based on prehospital data set: a diagnostic study.
المؤلفون: Yousefi MR; Trauma Research Center, Shiraz University of Medical Sciences, Shiraz, Iran., Karajizadeh M; Trauma Research Center, Shiraz University of Medical Sciences, Shiraz, Iran. mehrdad.karaji@gmail.com., Ghasemian M; Trauma Research Center, Shiraz University of Medical Sciences, Shiraz, Iran., Paydar S; Trauma Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
المصدر: BMC emergency medicine [BMC Emerg Med] 2024 Sep 09; Vol. 24 (1), pp. 163. Date of Electronic Publication: 2024 Sep 09.
نوع المنشور: Journal Article; Comparative Study
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 100968543 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-227X (Electronic) Linking ISSN: 1471227X NLM ISO Abbreviation: BMC Emerg Med Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2001-
مواضيع طبية MeSH: Hospital Mortality* , Wounds and Injuries*/mortality , Wounds and Injuries*/diagnosis, Humans ; Male ; Female ; Cross-Sectional Studies ; Retrospective Studies ; Middle Aged ; Adult ; Iran/epidemiology ; Early Warning Score ; Aged ; Injury Severity Score ; Trauma Severity Indices ; Emergency Medical Services ; Prognosis
مستخلص: Background: In the recent years, National Early Warning Score2 (NEWS2) is utilized to predict early on, the worsening of clinical status in patients. To this date the predictive accuracy of National Early Warning Score (NEWS2), Revised Trauma Score (RTS), and Trauma and injury severity score (TRISS) regarding the trauma patients' mortality rate have not been compared. Therefore, the objective of this study is comparing NEWS2, TRISS, and RTS in predicting mortality rate in trauma patients based on prehospital data set.
Methods: This cross-sectional retrospective diagnostic study performed on 6905 trauma patients, of which 4191 were found eligible, referred to the largest trauma center in southern Iran, Shiraz, during 2022-2023 based on their prehospital data set in order to compare the prognostic power of NEWS2, RTS, and TRISS in predicting in-hospital mortality rate. Patients are divided into deceased and survived groups. Demographic data, vital signs, and GCS were obtained from the patients and scoring systems were calculated and compared between the two groups. TRISS and ISS are calculated with in-hospital data set; others are based on prehospital data set.
Results: A total of 129 patients have deceased. Age, cause of injury, length of hospital stay, SBP, RR, HR, temperature, SpO2, and GCS were associated with mortality (p-value < 0.001). TRISS and RTS had the highest sensitivity and specificity respectively (77.52, CI 95% [69.3-84.4] and 93.99, CI 95% [93.2-94.7]). TRISS had the highest area under the ROC curve (0.934) followed by NEWS2 (0.879), GCS (0.815), RTS (0.812), and ISS (0.774). TRISS and NEWS were superior to RTS, GCS, and ISS (p-value < 0.0001).
Conclusion: This novel study compares the accuracy of NEWS2, TRISS, and RTS scoring systems in predicting mortality rate based on prehospital data. The findings suggest that all the scoring systems can predict mortality, with TRISS being the most accurate of them, followed by NEWS2. Considering the time consumption and ease of use, NEWS2 seems to be accurate and quick in predicting mortality based on prehospital data set.
(© 2024. The Author(s).)
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فهرسة مساهمة: Keywords: Mortality rate; Prehospital vital signs; Scoring system; Trauma
تواريخ الأحداث: Date Created: 20240909 Date Completed: 20240910 Latest Revision: 20240912
رمز التحديث: 20240912
مُعرف محوري في PubMed: PMC11382384
DOI: 10.1186/s12873-024-01084-w
PMID: 39251893
قاعدة البيانات: MEDLINE
الوصف
تدمد:1471-227X
DOI:10.1186/s12873-024-01084-w