Repository of Research and Investigative Information

Repository of Research and Investigative Information

Ilam University of Medical Sciences

Worthing Physiological score vs revised trauma score in outcome prediction of trauma patients; a comparative study

Wed Jun 19 10:02:11 2024

(2019) Worthing Physiological score vs revised trauma score in outcome prediction of trauma patients; a comparative study. Archives of Academic Emergency Medicine. ISSN 26454904 (ISSN)

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Introduction: Awareness about the outcome of trauma patients in the emergency department (ED) has become a topic of interest. Accordingly, the present study aimed to compare the rapid trauma score (RTS) and worthing physiological scoring system (WPSS) in predicting in-hospital mortality and poor outcome of trauma patients. Methods: In this comparative study trauma patients brought to five EDs in different cities of Iran during the year 2016 were included. After data collection, discriminatory power and calibration of the modelswere assessed and compared using STATA 11. Results: 2148 patients with the mean age of 39.50±17.27 years were included (75.56 males). The AUC of RTS and WPSS models for prediction of mortality were 0.86 (95 CI: 0.82-0.90) and 0.91 (95 CI: 0.87-0.94), respectively (p=0.006). RTS had a sensitivity of 71.54 (95CI: 62.59-79.13) and a specificity of 97.38 (95 CI: 96.56-98.01) in prediction of mortality. These measures for the WPSS were 87.80 (95 CI: 80.38-92.78) and 83.45 (95 CI: 81.75-85.04), respectively. The AUC of RTS and WPSS in predicting poor outcome were 0.81 (95 CI: 0.77-0.85) and 0.89 (95 CI: 0.85-0.92), respectively (p<0.0001). Conclusion: The findings showed a higher prognostic value for the WPSS model in predicting mortality and severe disabilities in trauma patients compared to the RTS model. Both models had good overall performance in prediction of mortality and poor outcome. © (2017) Shahid Beheshti University of Medical Sciences.

Item Type: Article
Nakhjavan-Shahraki, B.UNSPECIFIED
Yousefifard, M.UNSPECIFIED
Hajighanbari, M. J.UNSPECIFIED
Keywords: Decision support techniques Emergency department Prognosis Trauma Trauma severity indices adult area under the curve Article calibration controlled study cross-sectional study diagnostic test accuracy study disability severity emergency ward female Glasgow outcome scale hospital mortality human in-hospital mortality intermethod comparison Iran major clinical study male measurement accuracy prediction predictive value prospective study rapid trauma score reliability scoring system sensitivity and specificity traffic accident worthing physiological scoring system
Journal or Publication Title: Archives of Academic Emergency Medicine
Journal Index: Scopus
Volume: 7
Number: 1
ISSN: 26454904 (ISSN)
Depositing User: مهندس مهدی شریفی

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