Isidro Martínez Casas1, María Auxiliadora Amador Marchante1, Mihai Paduraru2, Ana Isabel Fabregues Olea3, Andreu Nolasco4, Juan Carlos Medina5. 1. General and Digestive Surgery Department, Complejo Hospitalario de Jaén. 2. General and Digestive Surgery Department, Hospital de Tomelloso, Ciudad Real. 3. General and Digestive Surgery Department, Hospital General de Elda, Alicante. 4. Research Unit for the Analysis of Mortality and Health Statistics, Department of Community Nursing, Preventive Medicine, Public Health and History of Science, University of Alicante, Spain. 5. Emergency Service, Hospital Universitario de Torrevieja, Alicante.
Abstract
OBJECTIVE: To determine the predictive and diagnostic value of thorax trauma severity score (TTSS) in a population of thoracic trauma patients admitted to a secondary level trauma center. METHODS: A Retrospective analysis of patients admitted over a period of two years with IDC-9 codes related to thoracic trauma was undertaken. The association of TTSS with complications and mortality was evaluated. We also determined the predictive value of TTSS using receiver operating characteristic curve (ROC). RESULTS: 238 patients with thoracic trauma, mostly middle-aged (62.2 ± 15 years), were included. The main mechanisms of injury were falls and traffic accidents. Thirty-three patients had important extra-thoracic injuries, but only 9 presented an ISS> 15. The average ISS was 3 ± 5; Morbidity was 2.5% and mortality was 2.1% as a result of thoracic injury and these patients had significantly higher TTSS values. Each score component was analyzed separately, showing significant association with complications and mortality. The area under the curve for TTSS was significant for predicting complications (0.848) and mortality (0.856) values. TTSS with a cut off value of 8 points had a sensitivity of 66% and specificity of 94% to predict complications and 80% sensitivity and 94% specificity for predicting mortality. CONCLUSIONS: The TTSS is an appropriate and feasible tool to predict the development of complications or mortality in a population of mostly mild thoracic trauma.
OBJECTIVE: To determine the predictive and diagnostic value of thorax trauma severity score (TTSS) in a population of thoracic traumapatients admitted to a secondary level trauma center. METHODS: A Retrospective analysis of patients admitted over a period of two years with IDC-9 codes related to thoracic trauma was undertaken. The association of TTSS with complications and mortality was evaluated. We also determined the predictive value of TTSS using receiver operating characteristic curve (ROC). RESULTS: 238 patients with thoracic trauma, mostly middle-aged (62.2 ± 15 years), were included. The main mechanisms of injury were falls and traffic accidents. Thirty-three patients had important extra-thoracic injuries, but only 9 presented an ISS> 15. The average ISS was 3 ± 5; Morbidity was 2.5% and mortality was 2.1% as a result of thoracic injury and these patients had significantly higher TTSS values. Each score component was analyzed separately, showing significant association with complications and mortality. The area under the curve for TTSS was significant for predicting complications (0.848) and mortality (0.856) values. TTSS with a cut off value of 8 points had a sensitivity of 66% and specificity of 94% to predict complications and 80% sensitivity and 94% specificity for predicting mortality. CONCLUSIONS: The TTSS is an appropriate and feasible tool to predict the development of complications or mortality in a population of mostly mild thoracic trauma.
Authors: J Wayne Meredith; Gregory Evans; Patrick D Kilgo; Ellen MacKenzie; Turner Osler; Gerald McGwin; Stephen Cohn; Thomas Esposito; Thomas Gennarelli; Michael Hawkins; Charles Lucas; Charles Mock; Michael Rotondo; Loring Rue; Howard R Champion Journal: J Trauma Date: 2002-10
Authors: Sebastian Wutzler; Arasch Wafaisade; Marc Maegele; Helmut Laurer; Emanuel V Geiger; Felix Walcher; John Barker; Rolf Lefering; Ingo Marzi Journal: Injury Date: 2011-01-21 Impact factor: 2.586
Authors: Reinier B Beks; David Reetz; Mirjam B de Jong; Rolf H H Groenwold; Falco Hietbrink; Michael J R Edwards; Luke P H Leenen; Roderick Marijn Houwert; Jan Paul M Frölke Journal: Eur J Trauma Emerg Surg Date: 2018-10-19 Impact factor: 3.693