Comparing Pediatric Trauma Score, Glasgow Coma Scale, and Injury Severity Score for Mortality Prediction in Traumatic Children

Yousefzadeh-Chabok, Shahrokh; Leyli, Ehsan Kazemnezhad; Kouchakinejad–Eramsadati, Leila; Hosseinpour, Marieh; Ranjbar, Fatemeh; Malekpouri, Reza; Mohtasham-Amiri, Zahra

doi:10.5505/tjtes.2015.83930

Cited by 39 publications

(34 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…[15][16][17] Other factors influencing coagulation have also been described, such as hemodilution of coagulation factors, which is caused by crystalloid administration during resuscitation, hypothermia, acidosis, Cut-offs for BD, INR, and GCS were extracted from the literature. 11,13,25,29 anemia, and hypocalcemia. 13,15,18 Thus, tissue injury and shock are the main drivers of early coagulopathy, whereas other factors exacerbate the coagulopathy.…”

Section: Discussionmentioning

confidence: 99%

“…23 A recent study by Yousefzadeh-Chabok et al compared the GCS to the pediatric trauma score (PTS) and ISS and found that it was a better predictor of mortality in pediatric trauma patients. 25 As for the base deficit, it reflects the shock status in pediatric trauma patients and has been proven to correlate with injury severity, morbidity, and mortality. [26][27][28][29] The BIG score can be rapidly available on admission to the ED, and it does not require trained personnel to Figure 2.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Retrospective evaluation of the BIG score to predict mortality in pediatric blunt trauma

Grandjean-Blanchet

Émériaud

Beaudin

et al. 2017

CJEM

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Retrospective evaluation of the BIG score to predict mortality in pediatric blunt trauma

Grandjean-Blanchet

Émériaud

Beaudin

et al. 2017

CJEM

View full text Add to dashboard Cite

show abstract

“…In their study, lower GCS score on admission was associated with increased 30-day mortality and poorer short-term outcome in patients with spontaneous cerebellar hemorrhage (SCH). Also, Yousefzadeh-Chabok et al (22) assessed the GCS ability to predict the mortality rate in children injured by trauma. The GCS ≤8 was the best cut of score with 98.4% sensitivity and 92.3% specificity, this cut of score and specificity is in line with our results.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Glasgow Coma Scale and GCS-Age Prognosis Score in Older Adult Patients

Ramazani¹,

Hosseini²

2019

Yoğun Bakım Derg

View full text Add to dashboard Cite

Background: Recent data have shown that the proportion of older adult patients admitted to intensive care units is increased and the severity of illness is an independent risk factor associated with mortality. The aim of the current study was to compare the prognostic value of the Glasgow Coma Scale (GCS) and GCS-Age Prognosis (GAP) scores in older adult patients (aged ≥65 years) admitted to Medical Intensive Care Unit (MICU). Methods: This was a prospective study of 168 consecutive older adult patients admitted to medical ICU during a 14-month period. For each patient, the GCS and GAP score in the first 24hours of admission and demographic characteristics were calculated and recorded. For statistical analysis, the logistic regression, Receiver operator characteristic (ROC) curve, and Hosmer-Lemeshow test were used (95% confidence interval). Results: Survivors had a significantly higher GCS and GAP scores in the first 24h of MICU admission compared with nonsurvivors (p<0.001, p<0.001, respectively). The discrimination power of both models was good ((area under curve [AUC]:83.8% (standard error [SE]:3%), AUC: 85.4% (SE: 2.9%), respectively). Based on the Hosmer-Lemeshow goodness of fit test, just GCS had an acceptable calibration (x2=13.18, p=0.068). Conclusions: For older adult patients admitted to the MICU, GCS and GAP scores reliably predict outcomes. Based on AUCs the discrimination power of models was good, but the calibration was acceptable just for GCS, thus the GCS is the better predictive model than GAP and useful in determining the prognosis of older adult patients in MICU.

show abstract

“…We have developed the ped-ABC score, which consisted of vital signs and FAST. Tachycardia and hypotension as well as decreased GCS were associated with poor outcomes in the pediatric patients with trauma [18][19][20]. In addition, positive result of FAST strongly suggests intraabdominal injury that is one of the main reasons for the need of transfusion [21,22].…”

Section: Development Of Ped-abc Scorementioning

confidence: 99%

Assessment of Blood Consumption score for pediatrics (ped-ABC score) predicts transfusion requirements for children with trauma.

Komori

Deshpande

Aoki

et al. 2020

Preprint

View full text Add to dashboard Cite

Background Although transfusion is one of primary life-saving elements, the assessment of requirement for transfusion in children with trauma at an early phase has been challenging. We aimed to develop a scoring system for predicting transfusion requirements in children with trauma. Methods This is a retrospective cohort study, which employed a nationwide registry of patients with trauma (Japan Trauma Data Bank) and included the patients aged < 16 years with blunt trauma between 2004 and 2015. An Assessment of Blood Consumption score for pediatrics (ped-ABC score) was developed based on previous literatures and clinical relevance. One point was assigned for each of the following criteria: systolic blood pressure ≤ 90 mmHg; heart rate ≥ 120/min; Glasgow Coma Scale (GCS) < 15; and positive result on focused assessment with sonography for trauma (FAST) scan. For sensitivity analysis, we assessed age-adjusted ped-ABC scores using cut-off points for different ages. Results In total, 540 patients had transfusion within 24 hours after trauma among the eligible 5,943 pediatric patients with trauma. The in-hospital mortality rate was 2.6% (145/5,615). Transfusion increased from 7.6% (430/5,631) to 35.3% (110/312) in patients with systolic blood pressure ≤ 90 mmHg (1 point); from 6.1% (276/4,504) to 18.3% (264/1,439) for heart rate ≥ 120/min (1 point); from 4.1% (130/3,198) to 14.9% (410/2,745) for disturbance of consciousness with GCS < 15 (1 point); and from 7.4% (400/5,380) to 24.9% (140/563) for FAST positivity (1 point). The ped-ABC score of 0, 1, 2, 3, and 4 points were associated with the transfusion rates of 2.2% (48/2,210), 7.5% (198/2,628), 19.8% (181/912), 53.3% (88/165), and 89.3% (25/28), respectively. After age adjustment, c-statistic was 0.76 (95% CI, 0.74–0.78). Conclusions The ped-ABC score using the vital signs and FAST may be helpful in predicting the transfusion requirements within 24 hours for children with trauma.

show abstract

Comparing Pediatric Trauma Score, Glasgow Coma Scale, and Injury Severity Score for Mortality Prediction in Traumatic Children

Cited by 39 publications

References 12 publications

Retrospective evaluation of the BIG score to predict mortality in pediatric blunt trauma

Retrospective evaluation of the BIG score to predict mortality in pediatric blunt trauma

Comparison of Glasgow Coma Scale and GCS-Age Prognosis Score in Older Adult Patients

Assessment of Blood Consumption score for pediatrics (ped-ABC score) predicts transfusion requirements for children with trauma.

Contact Info

Product

Resources

About