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Journals / Ulusal Travma ve Acil Cerrahi Dergisi / 2008 / Cilt: 14 - Sayı: 4

Travma ve yaralanma şiddeti ölçeği'nde, yaralanma şiddeti ölçeği'nin yerini yeni yaralanma şiddeti ölçeği alabilir mi?

Should the New Injury Severity Score replace the Injury Severity Score in the Trauma and Injury Severity Score?

Akköse Şule AYDIN
Mehtap BULUT
Halil ÖZGÜÇ
İLKER ERCAN
NURSEL TÜRKMEN İNANIR
Bülent EREN
MEHMET ESEN
Pages
308–312
DOI
—
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AI Summary & Key Takeaways

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

CONCLUSION: Use of NISS instead of ISS in the TRISS model demonstrated no significant difference, and it can thus be recommended for use.

📌 3 Key Takeaways

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Objective & Hypothesis:BACKGROUND: This study was performed to compare the efficacies of Injury Severity Score (ISS) and New Injury Severity Score (NISS), and to investigate whether replacing ISS with NISS in Trauma and Injury Severity Score (TRISS) changes the predictive power for mortality.
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Key Findings & Data:METHODS: We retrospectively analyzed 550 patients aged over 16 years seen in our center over a period of four years who had injuries in at least two organ systems.
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Conclusion & Impact:CONCLUSION: Use of NISS instead of ISS in the TRISS model demonstrated no significant difference, and it can thus be recommended for use.
🔬Design:Modeling & Simulation
📍Scope:Comprehensive Sample
⚙️Variables:Referans değerleri · Testlerin kestirim değeri · Sağkalım analizi

Abstract

BACKGROUND: This study was performed to compare the efficacies of Injury Severity Score (ISS) and New Injury Severity Score (NISS), and to investigate whether replacing ISS with NISS in Trauma and Injury Severity Score (TRISS) changes the predictive power for mortality. METHODS: We retrospectively analyzed 550 patients aged over 16 years seen in our center over a period of four years who had injuries in at least two organ systems. The ISS, NISS and TRISS were calculated for each patient. TRISS was calculated in two ways: TRISS 1 with age, Revised Trauma Score (RTS) and ISS, and TRISS 2 with age, RTS and NISS. The cut-off values for TRISS 1, TRISS 2, ISS and NISS were determined by ROC analysis. RESULTS: The ideal cut-off values for the prediction of mortality were 21.0 (AUC: 0.907) for ISS and 25.0 (AUC: 0.914) for NISS. There was no statistically significant difference between the ROC curves of ISS and NISS. The ideal cut-off values for predicting mortality were 90 (AUC: 0.934) for TRISS 1 and 86 (AUC: 0.935) for TRISS 2. There was no statistically significant difference between the ROC curves of TRISS 1 and TRISS 2. CONCLUSION: Use of NISS instead of ISS in the TRISS model demonstrated no significant difference, and it can thus be recommended for use.

Özet

AMAÇ: Bu çalışmada, çoklu travmalı olgularda mortalitenin öngörülmesinde hem Yaralanma Şiddeti Ölçeği (ISS) ile Yeni Yaralanma Şiddeti Ölçeği (NISS) etkinliği karşılaştırıldı, hem de “Travma ve Yaralanma Şiddeti Ölçeği’nde (TRISS) ISS’nin yerini NISS alabilir mi?” sorusuna cevaplar arandı. GEREÇ-YÖNTEM: En az iki organ sistemi yaralanması olan 16 yaş üstü 550 travma olgusunun Revize Edilmiş Travma Skoru (RTS), ISS ve NISS’leri saptandı. Bu olguların TRISS’leri önce önerilen yönteme göre; ISS, RTS, yaş parametreleriyle (TRISS 1) sonra NISS, RTS ve yaş parametreleriyle (TRISS 2) hesaplandı. Her skorun cut-off değerleri ROC analizi ile belirlendi. Belirlenen cut-off değerlerine göre sınıflanan travma skorları, diğer olası risk faktörleriyle birlikte lojistik regresyon analizine konuldu ve mortaliteyi etkilemedeki risk düzeyi araştırıldı. BULGULAR: ISS, NISS, TRISS 1 ve TRISS 2’için ideal cut-off değerleri sırasıyla 21.0 (AUC: 0,907), 25.0 (AUC: 0,914), 90 (AUC: 0,934), 86 (AUC: 0,935) olarak hesaplandı. Mortalitenin öngörülmesinde ISS ile NISS ve TRISS 1 ile TRISS 2 arasında istatistiksel olarak anlamlı bir farklılık saptanmadı. SONUÇ: Sonuç olarak, mortaliteyi öngörmede ISS ile NISS arasında anlamlı bir fark yoktur. TRISS modelinde ISS yerine NISS kullanılması anlamlı bir farklılığa yol açmamaktadır ve bu nedenle önerilebilir.

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Cite This Article

AYDIN, A. Ş., BULUT, M., ÖZGÜÇ, H., ERCAN, İ., İNANIR, N. T., EREN, B., ESEN, M. (2008). Travma ve yaralanma şiddeti ölçeği'nde, yaralanma şiddeti ölçeği'nin yerini yeni yaralanma şiddeti ölçeği alabilir mi?. Ulusal Travma ve Acil Cerrahi Dergisi, Cilt: 14 - Sayı: 4, 308–312. https://ajindex.com/articles/324418

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