Assessment of the use of TRISS scoring system in polytraumatized patients in Suez Canal university hospital, Ismailia, Egypt

Saad, Sameh; Abo-zied, Ahmed S.; Siam, Walaa A.; El-Ghoul, Yassin

doi:10.18203/2349-2902.isj20162740

Cited by 4 publications

(11 citation statements)

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“…Saad et al in their study reported that 96% of patients reached the hospital in the first 2 hours. 7 Singh et al found out that there was a graded increase in mortality with increase in delay in arrival which is comparable to our results. 8 It was observed that the mortality in age categories increased as per the age of study population increased.…”

Section: Discussionsupporting

confidence: 92%

“…Our results were comparable with studies of Saad et al where 71.4% of the patients were between 20-40 years age. 7 This fact is worrisome as disability and prolonged hospital stay of young patients are likely to impair productivity of the population. In our study, the incidence of trauma was more common among males comprising 75% of the cases against 25% in females.…”

Section: Discussionmentioning

confidence: 99%

“…Similar results were also obtained in studies of Saad et al where 37.5% patient of above 60 years old age group expired in comparison with 13% patients in the 20 to 40 years age group. 7 This could be attributed to poor physiological reserve of old patients and associated comorbidities. In our study, most commonly involved body region was extremity (75%), followed by abdomen (55%).…”

Section: Discussionmentioning

confidence: 99%

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Study of the efficacy of trauma and injury severity score to predict survival in patients of polytrauma

et al. 2021

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Background: Trauma is one of the major cause of mortality and morbidity in both developed and developing countries. Polytrauma patients present particular challenges as profile of the patient varies with different types and severity of injuries. Prediction of survival in trauma patients is an essential requirement of trauma care. Trauma and injury severity score (TRISS) have been considered as a standard of the quality of trauma care. Study was carried out to evaluate the performance of TRISS in predicting survival in patients of polytrauma.Methods: Prospective observational study was conducted in emergency department of a tertiary care centre. 100 patients were evaluated in the study for a period of 18 months between November 2019 and April 2021. Patient demographics, details of trauma, pattern of injuries and physiological status were recorded. Overall outcome were studied and data analysis was done on the basis of TRISS. Statistical analysis was performed using statistical package for the social sciences (SPSS) program for windows, version 25.0 (SPSS Chicago, Illinois).Results: Young patients with mean age of 34.54 were most commonly affected in polytrauma with male preponderance. Road traffic accidents were the most common mode of trauma followed by fall from height. Blunt trauma was the most common type of injury. TRISS strongly predicted survival in polytrauma patients (AUC 0.926 CI 95% 0.868-0.985). TRISS has high sensitivity 97.62% and specificity 62.50% at a cut off of 64.50%.Conclusions: TRISS is an effective method for predicting survival of polytrauma patients and thus can be utilized to evaluate and compare trauma care.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Study of the efficacy of trauma and injury severity score to predict survival in patients of polytrauma

et al. 2021

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“…Примерами таких интегральных систем могут быть APACHE II или ВПХ-СС, требующие сложных инструментальных и лабораторных исследований [9,10,11]. Шкалы же оценки тяжести травм, например, ISS или ВПХ-П имеют меньшее значение для прогнозирования и становятся эффективнее в предсказании инфекционных осложнений при совмещении их со шкалами оценки тяжести состояния [8,10,11]. Например, прогностическая значимость шкалы ISS при инфекционных легочных осложнения имеет противоположные значения у разных авторов [12,13].…”

Section: таблица 2 вероятность выживания по шкале Raps и количество иunclassified

“…Они имеют различную прогностическую ценность и возможности применения. Например, шкала ISS, применяемая для оценки тяжести травм, учитывает только самое тяжелое повреждение, игнорируя другие, зачастую не менее значимые для прогноза [7], а шкала TRISS, одной из составляющих которой является ISS, имеет более высокие специфичность и чувствительность [8]. Используемая для оценки тяжести состояния шкала APACHE II использует множество объективных и лабораторных данных, и для точного прогноза необходимы все они без исключения.…”

Section: Introductionunclassified

Significance of Integral Scales for Prediction of Infectious Complications in Victims With Thoracoabdominal Injuries

Sorokin¹,

Kohno²

2019

SMR

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Новосибирский государственный медицинский университет, Новосибирск 630087, Российская Федерация Цель исследования. Оценить возможность применения интегральных шкал в прогнозировании инфекционных осложнений у пострадавших с торакоабдоминальными травмами. Материал и методы. На основе изучения данных 244 медицинских карт стационарных больных с торакоабдоминальными травмами была оценена эффективность и возможность применения в прогнозировании инфекционных осложнений общепринятых шкал ISS, TRISS, RAPS, APACHE II, а также разработанных и предложенных шкал ШОРИ и ШОРИ 2. Результаты. Оценка по шкалам ISS и TRISS не имела достоверной взаимосвязи с развитием инфекционных осложнений. При исследовании шкалы RTS была выявлена ее эффективность на этапах приемного отделения и в первые сутки стационарного лечения, так как оценка менее 7,84 сочеталась с повышением шансов развития инфекционных осложнений. Шкала RAPS показала положительные результаты при прогнозировании инфекционных осложнений, начиная с первых суток стационарного лечения. Баллы по шкале APACHE II более 10 также повышают шансы развития инфекционных осложнений. Оценка площадей под ROC-кривыми выявила, что в условиях приемного отделения наиболее эффективна шкала ШОРИ, а в первые сутки стационарного лечения-ШОРИ 2. Заключение. Шкалы ШОРИ и ШОРИ 2 в условиях приемного отделения и на первые сутки стационарного лечения могут применяться для прогнозирования инфекционных осложнений у пострадавших с торакоабдоминальными травмами. Они могут быть использованы в практическом здравоохранении и их эффективность не уступает общепринятым шкалам. Ключевые слова: торакоабдоминальная травма, инфекционные осложнения, интегральные шкалы, ШОРИ, ШОРИ 2. Конфликт интересов. Авторы декларируют отсутствие явных и потенциальных конфликтов интересов, связанных с публикацией настоящей статьи.

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Evaluation of emergency department admissions of mass casualty patients using the revised trauma score, injury severity score, and trauma and injury severity score

Karaca

2024

Ulus Travma Acil Cerrahi Derg

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BACKGROUND: There is a need for studies evaluating prognostic scoring systems in mass trauma patients in conflict regions to predict patient prognosis for emergency surgical prioritization. In this study, we aimed to evaluate scoring systems such as the Revised Trauma Score (RTS), Injury Severity Score (ISS), and Trauma and Injury Severity Score (TRISS) in trauma patients admitted due to mass trauma in Northern Syria. METHODS: This study was a retrospective evaluation of patients admitted due to mass trauma to the emergency departments of hospitals in Northern Syria. The diagnostic efficiency of RTS, ISS, and TRISS scoring systems was evaluated in these admissions in the first half of 2021. RESULTS: The most common causes of mass trauma were bomb blast (67.3%), gunshot (28.8%), and 14 (3.9%) patients admitted with other causes. When the odds ratio (OR) was analyzed, a one-unit increase in the RTS score increased the odds of survival by a factor of 6.133, and a one-unit increase in the TRISS score increased the odds of survival by a factor of 1.057. Differently, it was found that each 1-unit increase in ISS decreased the patient’s probability of survival by 0.856 units. When RTS, TRISS, and ISS scores were analyzed, the area under the ROC curve was statistically significant for all of them (p<0.001) and all of them had a diagnostic value for mortality with sensitivities of 99.0%, 94.8%, and 91.9%; specificities of 87.8%, 90.5%, and 88.6; AUC of 0.958, 0.975, and 0.958, respectively. CONCLUSION: The use of trauma scoring systems, especially TRISS, may be useful for prioritizing patients in mass casualty settings in the presence of overcapacity.

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Assessment of the use of TRISS scoring system in polytraumatized patients in Suez Canal university hospital, Ismailia, Egypt

Cited by 4 publications

References 3 publications

Study of the efficacy of trauma and injury severity score to predict survival in patients of polytrauma

Study of the efficacy of trauma and injury severity score to predict survival in patients of polytrauma

Significance of Integral Scales for Prediction of Infectious Complications in Victims With Thoracoabdominal Injuries

Evaluation of emergency department admissions of mass casualty patients using the revised trauma score, injury severity score, and trauma and injury severity score

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