Research Article
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Year 2020, , 107 - 112, 23.10.2020
https://doi.org/10.5472/marumj.815526

Abstract

References

  • Champion HR, Sacco WJ, Carnazzo AJ, Copes W, Fouty WJ. Trauma score. Crit Care Med 1981;9:672-6. doi: 10.1097/00003.246.198109000-00015
  • Champion HR, Sacco WJ, Copes WS, Gann DS, Gennarelli TA, Flanagan ME. A revision of the Trauma Score. J Trauma [Internet] 1989;29:623-9. doi: 10.1097/00005.373.198905000- 00017 Accessed on 23.02.2016
  • Kondo Y, Abe T, Kohshi K, Tokuda Y, Cook EF, Kukita I. Revised trauma scoring system to predict in-hospital mortality in the emergency department: Glasgow Coma Scale, Age, and Systolic Blood Pressure score. Crit Care BioMed Central 2011;15:R191. doi: 10.1186/cc10348
  • Raum MR, Nijsten MWN, Vogelzang M, et al. Emergency trauma score: an instrument for early estimation of trauma severity. Crit Care Med 2009;37:1972-7. doi: 10.1097/ CCM.0b013e31819fe96a
  • Wutzler S, Maegele M, Wafaisade A, et al. Risk stratification in trauma and haemorrhagic shock: scoring systems derived from the TraumaRegister DGU(®). Injury 2014;45 Suppl 3:S29-34. doi: 10.1016/j.injury.2014.08.014
  • Kim YH, Seo KS, Lee MJ, et al. Application of new trauma scoring systems for mortality prediction in patients with adult major trauma. J Korean Soc Emerg Med 2014;25:447-55.
  • Joosse P, de Jong W-JJ, Reitsma JB, Wendt KW, Schep NW, Goslings JC. External validation of the emergency trauma score for early prediction of mortality in trauma patients. Crit Care Med 2014;42:83-9. doi: 10.1097/CCM.0b013e31829e53f5
  • Peris A, Mangini M, Spina R, Franci A, Ognibene A, Zagli G. Application of emergency trauma score in a hub-and-spoke regional system. Br J Anaesth 2013;111:507-8. doi: 10.1093/ bja/aet268
  • Bossuyt PM, Reitsma JB, Bruns DE, et al. STARD 2015: An updated list of essential items for reporting diagnostic accuracy studies. BMJ 2015;351:h5527 doi: 10.1136/bmj.h5527
  • American College of Surgeons Committee on Trauma. ATLS Advanced Trauma Life Support. 10 ed. American College of Surgeons; 2018. ISBN 78-0-9968262-3-5. Available at : https:// viaaerearcp.files.wordpress.com/2018/02/atls-2018.pdf Accessed on 11.03.2016
  • Ahun E, Koksal O, Sığırlı D, Torun G, Donmez SS, Armagan E. Value of the Glasgow coma scale, age, and arterial blood pressure score for predicting the mortality of major trauma patients presenting to the emergency department. Ulus Travma Acil Cerrahi Derg 2014;20:241-7. doi: 10.5505/ tjtes.2014.76399
  • Tan JH, Tan HCL, Noh NAM, Mohamad Y, Alwi RI. Validation of the trauma mortality prediction scores from a Malaysian population. Burns Trauma. BioMed Central 2017;5:37. doi: 10.1186/s41038.017.0102-z
  • Nakhjavan-Shahraki B, Yousefifard M, Hajighanbari M, et al. Worthing Physiological Score vs Revised Trauma Score in outcome prediction of trauma patients; a Comparative study. Emerg (Tehran) 2017;5:e31.
  • Kim SC, Kim DH, Kim TY, et al. The Revised Trauma Score plus serum albumin level improves the prediction of mortality in trauma patients. Am J Emerg Med 2017 ;35:1882-6. doi: 10.1016/j.ajem.2017.06.027
  • Mangini M, Di Valvasone S, Greco C, et al. Validation of the new proposed Emergency Trauma Score (EMTRAS). Critical Care BioMed Central 2010;14(S1):P252. doi: 10.1186/cc8484
  • Park HO, Kim JW, Kim SH, et al. Usability verification of the Emergency Trauma Score (EMTRAS) and Rapid Emergency Medicine Score (REMS) in patients with trauma: A retrospective cohort study. Medicine (Baltimore) 2017;96:e8449. doi: 10.1097/MD.000.000.0000008449
  • Hamed R, Maaref A, Amira F, Aouni H, Mekki I, Jebali A. Prognostic value of scoring tools in severe trauma patients admitted ot the emergency department. Tunis Med 2018 ;96:203-8.

Comparison of the predictive utility of Revised Trauma Score, Emergency Trauma Score, and Glasgow Coma Scale-Age-Pressure scores for emergency department mortality in multiple trauma patients

Year 2020, , 107 - 112, 23.10.2020
https://doi.org/10.5472/marumj.815526

Abstract

Objective: In this study, we aimed to compare the utility of Revised Trauma Score (RTS), Glasgow Coma Scale, Age, and Systolic
Blood Pressure (GAP) scores, and Emergency Trauma Score (EMTRAS) in multiple trauma patients for the prediction of mortality
in the emergency department (ED).
Materials and Methods: In this observational diagnostic accuracy study, a consecutive convenience sample of all adult patients (older
than 16 years) with multiple trauma (injuries confined to at least two body regions) admitted to the trauma bay of the ED during the
shifts of the researchers was used. Presence of ED mortality was recorded, and RTS, EMTRAS, and GAP scores were calculated at the
analysis stage of this study.
Results: The study sample included 279 multiple trauma patients. Of the 279 patients, 13 (4.7%) died in the ED. Among the 266
patients who survived to hospital admission, 3 were lost to-follow-up (foreigner patients). In the following 30 days, 28 more patients
were lost, 23 in the Intensive Care Unit (ICU) (23/62, 37.1%), 4 in the wards (4/131, 3.1%), and 1 after discharge (1/73, 0.1%). The
prognostic accuracies (AUC) of RTS, EMTRAS, and GAP were 0.92, 0.94, and 0.93, respectively, for ED mortality.
Conclusion: In this study, all trauma scores performed similar in the ED for the prediction of ED mortality.

References

  • Champion HR, Sacco WJ, Carnazzo AJ, Copes W, Fouty WJ. Trauma score. Crit Care Med 1981;9:672-6. doi: 10.1097/00003.246.198109000-00015
  • Champion HR, Sacco WJ, Copes WS, Gann DS, Gennarelli TA, Flanagan ME. A revision of the Trauma Score. J Trauma [Internet] 1989;29:623-9. doi: 10.1097/00005.373.198905000- 00017 Accessed on 23.02.2016
  • Kondo Y, Abe T, Kohshi K, Tokuda Y, Cook EF, Kukita I. Revised trauma scoring system to predict in-hospital mortality in the emergency department: Glasgow Coma Scale, Age, and Systolic Blood Pressure score. Crit Care BioMed Central 2011;15:R191. doi: 10.1186/cc10348
  • Raum MR, Nijsten MWN, Vogelzang M, et al. Emergency trauma score: an instrument for early estimation of trauma severity. Crit Care Med 2009;37:1972-7. doi: 10.1097/ CCM.0b013e31819fe96a
  • Wutzler S, Maegele M, Wafaisade A, et al. Risk stratification in trauma and haemorrhagic shock: scoring systems derived from the TraumaRegister DGU(®). Injury 2014;45 Suppl 3:S29-34. doi: 10.1016/j.injury.2014.08.014
  • Kim YH, Seo KS, Lee MJ, et al. Application of new trauma scoring systems for mortality prediction in patients with adult major trauma. J Korean Soc Emerg Med 2014;25:447-55.
  • Joosse P, de Jong W-JJ, Reitsma JB, Wendt KW, Schep NW, Goslings JC. External validation of the emergency trauma score for early prediction of mortality in trauma patients. Crit Care Med 2014;42:83-9. doi: 10.1097/CCM.0b013e31829e53f5
  • Peris A, Mangini M, Spina R, Franci A, Ognibene A, Zagli G. Application of emergency trauma score in a hub-and-spoke regional system. Br J Anaesth 2013;111:507-8. doi: 10.1093/ bja/aet268
  • Bossuyt PM, Reitsma JB, Bruns DE, et al. STARD 2015: An updated list of essential items for reporting diagnostic accuracy studies. BMJ 2015;351:h5527 doi: 10.1136/bmj.h5527
  • American College of Surgeons Committee on Trauma. ATLS Advanced Trauma Life Support. 10 ed. American College of Surgeons; 2018. ISBN 78-0-9968262-3-5. Available at : https:// viaaerearcp.files.wordpress.com/2018/02/atls-2018.pdf Accessed on 11.03.2016
  • Ahun E, Koksal O, Sığırlı D, Torun G, Donmez SS, Armagan E. Value of the Glasgow coma scale, age, and arterial blood pressure score for predicting the mortality of major trauma patients presenting to the emergency department. Ulus Travma Acil Cerrahi Derg 2014;20:241-7. doi: 10.5505/ tjtes.2014.76399
  • Tan JH, Tan HCL, Noh NAM, Mohamad Y, Alwi RI. Validation of the trauma mortality prediction scores from a Malaysian population. Burns Trauma. BioMed Central 2017;5:37. doi: 10.1186/s41038.017.0102-z
  • Nakhjavan-Shahraki B, Yousefifard M, Hajighanbari M, et al. Worthing Physiological Score vs Revised Trauma Score in outcome prediction of trauma patients; a Comparative study. Emerg (Tehran) 2017;5:e31.
  • Kim SC, Kim DH, Kim TY, et al. The Revised Trauma Score plus serum albumin level improves the prediction of mortality in trauma patients. Am J Emerg Med 2017 ;35:1882-6. doi: 10.1016/j.ajem.2017.06.027
  • Mangini M, Di Valvasone S, Greco C, et al. Validation of the new proposed Emergency Trauma Score (EMTRAS). Critical Care BioMed Central 2010;14(S1):P252. doi: 10.1186/cc8484
  • Park HO, Kim JW, Kim SH, et al. Usability verification of the Emergency Trauma Score (EMTRAS) and Rapid Emergency Medicine Score (REMS) in patients with trauma: A retrospective cohort study. Medicine (Baltimore) 2017;96:e8449. doi: 10.1097/MD.000.000.0000008449
  • Hamed R, Maaref A, Amira F, Aouni H, Mekki I, Jebali A. Prognostic value of scoring tools in severe trauma patients admitted ot the emergency department. Tunis Med 2018 ;96:203-8.
There are 17 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Articles
Authors

Melis Efeoglu Sacak This is me 0000-0002-8446-9898

Haldun Akoglu This is me 0000-0002-1316-0308

Ozge Onur This is me 0000-0002-0110-3533

Arzu Denızbası This is me 0000-0002-4589-8251

Publication Date October 23, 2020
Published in Issue Year 2020

Cite

APA Efeoglu Sacak, M., Akoglu, H., Onur, O., Denızbası, A. (2020). Comparison of the predictive utility of Revised Trauma Score, Emergency Trauma Score, and Glasgow Coma Scale-Age-Pressure scores for emergency department mortality in multiple trauma patients. Marmara Medical Journal, 33(3), 107-112. https://doi.org/10.5472/marumj.815526
AMA Efeoglu Sacak M, Akoglu H, Onur O, Denızbası A. Comparison of the predictive utility of Revised Trauma Score, Emergency Trauma Score, and Glasgow Coma Scale-Age-Pressure scores for emergency department mortality in multiple trauma patients. Marmara Med J. October 2020;33(3):107-112. doi:10.5472/marumj.815526
Chicago Efeoglu Sacak, Melis, Haldun Akoglu, Ozge Onur, and Arzu Denızbası. “Comparison of the Predictive Utility of Revised Trauma Score, Emergency Trauma Score, and Glasgow Coma Scale-Age-Pressure Scores for Emergency Department Mortality in Multiple Trauma Patients”. Marmara Medical Journal 33, no. 3 (October 2020): 107-12. https://doi.org/10.5472/marumj.815526.
EndNote Efeoglu Sacak M, Akoglu H, Onur O, Denızbası A (October 1, 2020) Comparison of the predictive utility of Revised Trauma Score, Emergency Trauma Score, and Glasgow Coma Scale-Age-Pressure scores for emergency department mortality in multiple trauma patients. Marmara Medical Journal 33 3 107–112.
IEEE M. Efeoglu Sacak, H. Akoglu, O. Onur, and A. Denızbası, “Comparison of the predictive utility of Revised Trauma Score, Emergency Trauma Score, and Glasgow Coma Scale-Age-Pressure scores for emergency department mortality in multiple trauma patients”, Marmara Med J, vol. 33, no. 3, pp. 107–112, 2020, doi: 10.5472/marumj.815526.
ISNAD Efeoglu Sacak, Melis et al. “Comparison of the Predictive Utility of Revised Trauma Score, Emergency Trauma Score, and Glasgow Coma Scale-Age-Pressure Scores for Emergency Department Mortality in Multiple Trauma Patients”. Marmara Medical Journal 33/3 (October 2020), 107-112. https://doi.org/10.5472/marumj.815526.
JAMA Efeoglu Sacak M, Akoglu H, Onur O, Denızbası A. Comparison of the predictive utility of Revised Trauma Score, Emergency Trauma Score, and Glasgow Coma Scale-Age-Pressure scores for emergency department mortality in multiple trauma patients. Marmara Med J. 2020;33:107–112.
MLA Efeoglu Sacak, Melis et al. “Comparison of the Predictive Utility of Revised Trauma Score, Emergency Trauma Score, and Glasgow Coma Scale-Age-Pressure Scores for Emergency Department Mortality in Multiple Trauma Patients”. Marmara Medical Journal, vol. 33, no. 3, 2020, pp. 107-12, doi:10.5472/marumj.815526.
Vancouver Efeoglu Sacak M, Akoglu H, Onur O, Denızbası A. Comparison of the predictive utility of Revised Trauma Score, Emergency Trauma Score, and Glasgow Coma Scale-Age-Pressure scores for emergency department mortality in multiple trauma patients. Marmara Med J. 2020;33(3):107-12.