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Journals / Marmara Medical Journal / 2020 / Cilt: 33 - Sayı: 3

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

Melis EFEOGLU SACAK
Haldun AKOGLU
Ozge ONUR
Arzu DENIZBASI
Pages
107–112
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: In this study, all trauma scores performed similar in the ED for the prediction of ED mortality.

📌 3 Key Takeaways

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Objective & Hypothesis: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).
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Key Findings & Data: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.
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Conclusion & Impact:Conclusion: In this study, all trauma scores performed similar in the ED for the prediction of ED mortality.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:RTS · EMTRAS · GAP

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.

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Cite This Article

SACAK, M. E., AKOGLU, H., ONUR, O., DENIZBASI, 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, Cilt: 33 - Sayı: 3, 107–112. https://ajindex.com/articles/283800

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References (4)

  1. 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
  2. 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
  3. 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
  4. 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. do