Comparison of Scoring Systems for Mortality Prediction in Pediatric Multitrauma Patients

Abstract

The aim of this study was to compare scoring systems for mortality prediction and determine the threshold values of this scoring systems in pediatric multitrauma patients. A total of 57 multitrauma patients referred to the pediatric intensive care unit from January 2020 to August 2021 were included. The pediatric trauma score (PTS), injury severity score (ISS), base deficit (B), international normalized ratio (I), Glasgow coma scale (G) (BIG) score, and pediatric risk of mortality 3 (PRISM 3) score were analyzed for all patients. Of the study group, 35% were females and 65% were males with a mean age of 72 months (interquartile range: 140). All groups' mortality ratio was 12.2%. All risk scores based on mortality prediction were statistically significant. Cutoff value for PTS was 3.5 with 96% sensitivity and 62% specificity; for the ISS, it was 20.5 with 92% sensitivity and 43% specificity; threshold of the BIG score was 17.75 with 85.7% sensitivity and 34% specificity; and 12.5 for PRISM 3 score with 87.6% sensitivity and 28% specificity. PTS, ISS, BIG score, and PRISM 3 score were accurate risk predictors for mortality in pediatric multitrauma patients. ISS was superior to PTS, PRISM 3 score, and BIG score for discrimination between survivors and nonsurvivors.

Effect of hyperchloremia on mortality of pediatric trauma patients: a retrospective cohort study

“… 10 In a study comparing mortality scores in pediatric patients with major trauma, the ISS score was superior to the pediatric trauma score, pediatric risk of mortality III score, and base deficit, INR, and Glasgow coma scale score. 11 The ISS scoring system has been shown to be better than the RTS in predicting mortality. 12 In our study, although mortality scores were not compared to determine the accuracy of survival prediction, the ISS score was identified as an independent risk factor for mortality.…”