Hailin Ruan1, Wenhan Ge2, Bing Li3, Yuanqun Zhu4, Fan Yang5. 1. Department of Emergency, Liuzhou Worker's Hospital, The Fourth Affiliated Hospital of Guangxi Medical University Liuzhou, Guangxi 545005, P.R China. 2. Department of Intensive Care Unit, Huaian Hospital Affiliated to Xuzhou Medical College Huai'an, Jiangshu 223002, P.R China. 3. Department of Traumatology, Liuzhou Worker's Hospital, The Fourth Affiliated Hospital of Guangxi Medical University Liuzhou 545005, P.R China. 4. Department of Neurology, Liuzhou Worker's Hospital, The Fourth Affiliated Hospital of Guangxi Medical University Liuzhou, Guangxi 545005, P.R China. 5. Department of Cardiology, Liuzhou Worker's Hospital, The Fourth Affiliated Hospital of Guangxi Medical University Liuzhou, Guangxi 545005, P.R China.
Abstract
OBJECTIVE: The aim of this study was to determine the application value of a trauma index (TI) to assess condition and likelihood of death in hospitalized patients with acute trauma (AT). METHODS: Trauma index scores and injury severity scores (ISS) were assessed in 1,802 randomly selected cases of AT-hospitalized patients. The receiver operating characteristic (ROC) curve was used to compare the clinical values of TI and ISS values to predict outcomes in AT-hospitalized patients. RESULTS: The area under the ROC curve for TI scores was 0.896 (95% CI [0.881, 0.909]), while for ISS, it was 0.792 (95% CI [0.773, 0.811]). This difference was not statistically significant (z = 3.236, P = 0.001). Potentially critical disease conditions in AT-hospitalized patients were best identified when TI scores were ≥ 16 points and ISS values were ≥ 22 points. CONCLUSIONS: Trauma Index scores exhibited a higher resolution for outcome prediction in AT-hospitalized patients compared to ISS values. The implementation of this scale was simple, reliable, easy to learn, and could quickly identify disease, which is vital for early detection and treatment of critical trauma patients.
OBJECTIVE: The aim of this study was to determine the application value of a trauma index (TI) to assess condition and likelihood of death in hospitalized patients with acute trauma (AT). METHODS:Trauma index scores and injury severity scores (ISS) were assessed in 1,802 randomly selected cases of AT-hospitalized patients. The receiver operating characteristic (ROC) curve was used to compare the clinical values of TI and ISS values to predict outcomes in AT-hospitalized patients. RESULTS: The area under the ROC curve for TI scores was 0.896 (95% CI [0.881, 0.909]), while for ISS, it was 0.792 (95% CI [0.773, 0.811]). This difference was not statistically significant (z = 3.236, P = 0.001). Potentially critical disease conditions in AT-hospitalized patients were best identified when TI scores were ≥ 16 points and ISS values were ≥ 22 points. CONCLUSIONS:Trauma Index scores exhibited a higher resolution for outcome prediction in AT-hospitalized patients compared to ISS values. The implementation of this scale was simple, reliable, easy to learn, and could quickly identify disease, which is vital for early detection and treatment of critical traumapatients.
Authors: Babak Sarani; Brandy Temple-Lykens; Patrick Kim; Seema Sonnad; Meredith Bergey; Jose L Pascual; Carrie Sims; C William Schwab; Patrick Reilly Journal: J Trauma Date: 2009-11
Authors: Pieter Joosse; Willem-Jan J de Jong; Johannes B Reitsma; Klaus W Wendt; Niels W Schep; J Carel Goslings Journal: Crit Care Med Date: 2014-01 Impact factor: 7.598