Serhat Akay1, Ahmet Mucteba Ozturk2, Huriye Akay3. 1. Emergency Medicine Clinic, Izmir, Bozyaka Training and Research Hospital, Izmir, Turkey. Electronic address: howls_Castle@mynet.com. 2. General Surgery Clinic, Izmir, Bozyaka Training and Research Hospital, Izmir, Turkey. Electronic address: dramucteba@yahoo.com. 3. Emergency Medicine Clinic, Izmir, Bozyaka Training and Research Hospital, Izmir, Turkey. Electronic address: kacikkilcik@yahoo.com.
Abstract
BACKGROUND: Mortality prediction of trauma patients relies on anatomical, physiological or combined scores. The purpose of this study is to compare the diagnostic accuracy of the modified Kampala Trauma Score (M-KTS) with the Trauma Mortality Prediction Model (TMPM), and Trauma-Injury Severity Score (TRISS) using data from a large dataset from a developed registry, the National Trauma Data Bank (NTDB). METHODS: Using 2011 and 2012 data from NTDB, patient based trauma scores (M-KTS, TMPM, and TRISS) were calculated and predictive ability of M-KTS for mortality was compared with other trauma scores using receiver operating characteristics (ROC) curves. RESULTS: A total of 841089 patients were included in the study. TRISS outperformed other scores (AUC=0.922, %95 CI 0.920-0.924) with M-KTS as the second best score (AUC=0.901, %95 CI 0.899-0.903) followed by TMPM (AUC=0.887, 95% CI 0.844-0.889). For blunt trauma, TRISS (AUC=0.917, 95% CI 0.915-0.919) performed better than M-KTS (AUC=0.891, %95 CI 0.889-0.893) and TMPM (AUC=0.874, 95% CI 0.871-0.877). For penetrating trauma, M-KTS (AUC=0.956, 95% CI 0.954-0.959) and TMPM (AUC=0.955, 95% CI 0.951-0.958) had similar performance after TRISS (AUC=0.969, 95% CI 0.967-0.971). CONCLUSION: M-KTS performed worse than TRISS although its' main advantage is simple use in resource-limited settings.
BACKGROUND: Mortality prediction of traumapatients relies on anatomical, physiological or combined scores. The purpose of this study is to compare the diagnostic accuracy of the modified Kampala Trauma Score (M-KTS) with the Trauma Mortality Prediction Model (TMPM), and Trauma-Injury Severity Score (TRISS) using data from a large dataset from a developed registry, the National Trauma Data Bank (NTDB). METHODS: Using 2011 and 2012 data from NTDB, patient based trauma scores (M-KTS, TMPM, and TRISS) were calculated and predictive ability of M-KTS for mortality was compared with other trauma scores using receiver operating characteristics (ROC) curves. RESULTS: A total of 841089 patients were included in the study. TRISS outperformed other scores (AUC=0.922, %95 CI 0.920-0.924) with M-KTS as the second best score (AUC=0.901, %95 CI 0.899-0.903) followed by TMPM (AUC=0.887, 95% CI 0.844-0.889). For blunt trauma, TRISS (AUC=0.917, 95% CI 0.915-0.919) performed better than M-KTS (AUC=0.891, %95 CI 0.889-0.893) and TMPM (AUC=0.874, 95% CI 0.871-0.877). For penetrating trauma, M-KTS (AUC=0.956, 95% CI 0.954-0.959) and TMPM (AUC=0.955, 95% CI 0.951-0.958) had similar performance after TRISS (AUC=0.969, 95% CI 0.967-0.971). CONCLUSION: M-KTS performed worse than TRISS although its' main advantage is simple use in resource-limited settings.
Authors: S Ariane Christie; Alan E Hubbard; Rachael A Callcut; Morad Hameed; Fanny Nadia Dissak-Delon; David Mekolo; Arabo Saidou; Alain Chichom Mefire; Pierre Nsongoo; Rochelle A Dicker; Mitchell Jay Cohen; Catherine Juillard Journal: J Trauma Acute Care Surg Date: 2018-11 Impact factor: 3.313
Authors: Aly Beeman; Catalina Gonzalez Marques; Oliver Y Tang; Chantal Uwamahoro; Spandana Jarmale; Zeta Mutabazi; Vincent Ndebwanimana; Doris Uwamahoro; Mediatrice Niyonsaba; Andrew Stephen; Adam R Aluisio Journal: Afr J Emerg Med Date: 2022-06-24