Major trauma registry of Navarre (Spain): the accuracy of different survival prediction models

Belzunegui, T.; Gradín, Carlos; Fortún, Mariano; Cabodevilla, Ana; Barbachano, Adrian; Sanz, José Antonio

doi:10.1016/j.ajem.2013.06.026

Cited by 26 publications

(35 citation statements)

References 37 publications

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“…Three of the four studies that attempted to identify an age at which mortality from trauma increased significantly reported an inflexion point for increasing mortality at around the 4 th to 5 th decade, ranging from 45 to 59 years (29,30,32). This concurs with the cut-off for age in most current predictive models for mortality in trauma.…”

Section: Demographic Factorsmentioning

confidence: 54%

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Factors affecting mortality in older trauma patients—A systematic review and meta-analysis

Sammy

Lecky

Sutton

et al. 2016

Injury

118

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Section: Demographic Factorsmentioning

confidence: 54%

“…The inflexion point for mortality with age occurred in the 4 th or 5 th decade (Table 1), apart from in Caterino's large American study which found an inflexion point at the 70-74 year age group (29)(30)(31)(32).…”

Section: Demographic Factorsmentioning

confidence: 92%

Factors affecting mortality in older trauma patients—A systematic review and meta-analysis

Sammy

Lecky

Sutton

et al. 2016

Injury

118

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“…In NISS scoring system, trauma severity is calculated by summing the squares of scores awarded to three most severe injures irrespective of their localization [21]. NISS scoring system provides higher accuracy in predicting mortality from polytrauma than ISS [22], especially, in blunt trauma and among patients in critical condition [23][24][25], but it is not suitable for evaluating the injured in borderline condition [26].…”

Section: Injury Severity Evaluationmentioning

confidence: 99%

“…In the explorative variant, survival probability is calculated based on the logistic regression equation using the coefficients allowing taking into account the contribution of every indicator to the outcome [48]. RTS scale is effective in predicting mortality in polytrauma [24,41], but it is inferior to ISS in this respect [7,15].…”

Section: Evaluating the Severity Of Functional Disordersmentioning

confidence: 99%

“…The severity of a polytrauma patient's condition is affected by comorbidities which significantly increase the probability of fatal outcome and serve as its predictors [11,24,78]. Studying the influence of comorbidities on polytrauma severity and its outcome is complicated by the variety of somatic pathologies.…”

Section: Evaluating the Severity Of Functional Disordersmentioning

confidence: 99%

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Assessment of Severity and Prognosis of Polytrauma Outcome: the Current State of the Problem (Review)

Seliverstov¹,

Shapkin²

2017

Sovrem Tehnol Med

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The review deals with modern methods of assessing the severity and predicting the outcome of polytrauma. To solve the problem of objective evaluation of polytrauma severity, numerous studies are devoted to the search for independent predictors of its outcome, many of which are included in various scales and statistical models to quantitatively rank the severity of injury in the established intervals and calculate the survival probability. It is generally accepted to take into account the anatomical criteria to determine the severity of damage, and physiological parameters that characterize the response of the body functional systems to the damage. Age, sex, comorbidities, various clinical parameters, indices of acidosis, coagulopathy, oxidative stress, inflammatory response, timely diagnosing and the quality of treatment, the need of rendering various types of emergency aid are considered as independent risk factors of fatal polytrauma outcome.The predictive value and comparative effectiveness used in polytrauma scales assessing the severity of injuries (ISS, NISS, APS, ICISS, TMPM) and functional disorders (GCS, RTS, APACHE II, MODS II, SOFA, SAPS II, MPM II) as well as a variety of combined clinical and anatomical evaluation systems (TRISS, ASCOT, RISC II, PTS, etc.) are being actively discussed in the modern literature. Creating a universal scale is complicated by a variety of damages and disorders caused by a polytrauma, and insufficient study of injury outcome predictors. The proposed survival rates and prognostic factors are tied to specific polytrauma databases differing in terms of mortality and quality of medical care, which is reflected in their predictive value.A clear definition of polytrauma and formation of a unified system of assessing its severity would allow physicians to standardize treatment policy, objectively solve the problems of organization and financial support of medical help to seriously injured people.Key words: polytrauma; prognostic factors in polytrauma; mortality in polytrauma; scales and systems of injury severity evaluation.For contacts: Pavel A. Seliverstov,

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Missing patients in “Major Trauma Registry” of Navarre: incidence and pattern

Ali

Fortún

Belzunegui

et al. 2016

Eur J Trauma Emerg Surg

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Major trauma registry of Navarre (Spain): the accuracy of different survival prediction models

Cited by 26 publications

References 37 publications

Factors affecting mortality in older trauma patients—A systematic review and meta-analysis

Factors affecting mortality in older trauma patients—A systematic review and meta-analysis

Assessment of Severity and Prognosis of Polytrauma Outcome: the Current State of the Problem (Review)

Missing patients in “Major Trauma Registry” of Navarre: incidence and pattern

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