The role of the American Society of anesthesiologists physical status classification in predicting trauma mortality and outcomes
| العنوان: | The role of the American Society of anesthesiologists physical status classification in predicting trauma mortality and outcomes |
|---|---|
| المؤلفون: | Thang D. Tran, Jeffry Nahmias, Talia Hourany, M. Iqbal Ahmed, Richard D. Urman, Ali Salim, Jessica L. Lee, Anne Feeler, Kazuhide Matsushima, Xi Luo, Emily Melikman, Babatunde Ogunnaike, Miguel A. Escanelle, Alexander L. Eastman, Wendy J. Mack, Dean Spencer, Abu Minhajuddin, Christopher H Pham, Jonathan B. Imran, Catherine M. Kuza, Viktor Gabriel, Roman Dudaryk, Michelle B. Mulder, Divya Ramakrishnan |
| المصدر: | American journal of surgery, vol 218, iss 6 Am J Surg |
| بيانات النشر: | eScholarship, University of California, 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, Physical Injury - Accidents and Adverse Effects, Trauma scores, Clinical Sciences, Outcomes, Logistic regression, ASA PS, Article, 03 medical and health sciences, 0302 clinical medicine, Predictive Value of Tests, Medical, medicine, Humans, 030212 general & internal medicine, Mortality, Societies, Medical, Retrospective Studies, Trauma Severity Indices, business.industry, Predictors, Respiration, 030208 emergency & critical care medicine, Retrospective cohort study, General Medicine, Revised Trauma Score, Length of Stay, Middle Aged, Respiration, Artificial, United States, Anesthesiologists, Good Health and Well Being, Emergency medicine, Artificial, Mixed effects, Injury Severity Score, Wounds and Injuries, Female, Surgery, business, Societies, American society of anesthesiologists, Case analysis |
| الوصف: | Background Trauma prediction scores such as Revised Trauma Score (RTS) and Trauma and Injury Severity Score (TRISS)) are used to predict mortality, but do not include comorbidities. We analyzed the American Society of Anesthesiologists physical status (ASA PS) for predicting mortality in trauma patients undergoing surgery. Methods This multicenter, retrospective study compared the mortality predictive ability of ASA PS, RTS, Injury Severity Score (ISS), and TRISS using a complete case analysis with mixed effects logistic regression. Associations with mortality and AROC were calculated for each measure alone and tested for differences using chi-square. Results Of 3,042 patients, 230 (8%) died. The AROC for mortality for TRISS was 0.938 (95%CI 0.921, 0.954), RTS 0.845 (95%CI 0.815, 0.875), and ASA PS 0.886 (95%CI 0.864, 0.908). ASA PS + TRISS did not improve mortality predictive ability (p = 0.18). Conclusions ASA PS was a good predictor of mortality in trauma patients, although combined with TRISS it did not improve predictive ability. |
| وصف الملف: | application/pdf |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::60f24a5c0ebd6c8cea35f929cb0ad77f https://escholarship.org/uc/item/3hz9w4kp |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....60f24a5c0ebd6c8cea35f929cb0ad77f |
| قاعدة البيانات: | OpenAIRE |
| الوصف غير متاح. |