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

Fri May 20 02:25:21 2022

(2017) Worthing physiological score vs revised trauma score in outcome prediction of trauma patients; a comparative study. Emergency. ISSN 23454571 (ISSN)

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Official URL: https://www.scopus.com/inward/record.uri?eid=2-s2....

Abstract

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 2016were included. After data collection, discriminatory power and calibration of the modelswere assessed and compared using STATA 11. Results: 2148 patientswith themean age of 39.50±17.27 yearswere included (75.56 males). The AUC of RTS and WPSS models for prediction ofmortalitywere 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. © (2016) Shahid Beheshti University ofMedical Sciences.

Item Type: Article
Creators:
CreatorsEmail
Nakhjavan-Shahraki, B.UNSPECIFIED
Yousefifard, M.UNSPECIFIED
Hajighanbari, M. J.UNSPECIFIED
Karimi, P.UNSPECIFIED
Baikpour, M.UNSPECIFIED
Razaz, J. M.UNSPECIFIED
Yaseri, M.UNSPECIFIED
Shahsavari, K.UNSPECIFIED
Mahdizadeh, F.UNSPECIFIED
Hosseini, M.UNSPECIFIED
Keywords: Decision support techniques Emergency department Prognosis Trauma Trauma severity indices adult area under the curve Article calibration comparative study controlled study cross-sectional study diagnostic test accuracy study disease assessment female Glasgow outcome scale hospital mortality human injury major clinical study male physiological score prospective study revised trauma score sensitivity and specificity
Divisions:
Journal or Publication Title: Emergency
Journal Index: Scopus
Volume: 5
Number: 1
ISSN: 23454571 (ISSN)
Depositing User: مهندس مهدی شریفی
URI: http://eprints.medilam.ac.ir/id/eprint/1336

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