Worthing Physiological Score vs Revised Trauma Score in Outcome Prediction of Trauma patients; a Comparative Study
<p><strong>Introduction: </strong>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 predict...
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Shahid Beheshti University of Medical Sciences
2016-12-01
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doaj-8ac77e5872a14f3fa455dc75d46de4c42020-11-25T02:56:43ZengShahid Beheshti University of Medical SciencesEmergency2345-45632345-45712016-12-0151e31e3110.22037/emergency.v5i1.146828039Worthing Physiological Score vs Revised Trauma Score in Outcome Prediction of Trauma patients; a Comparative StudyBabak Nakhjavan-Shahraki0Mahmoud Yousefifard1Mohammad Javad Hajighanbari2Masoud Baikpour3Jalaledin Mirzay Razaz4Mehdi Yaseri5Kavous Shahsavari6Fatemeh Mahdizadeh7Mostafa Hosseini8Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, IranPhysiology Research Center and Department of Physiology, Faculty of Medicine, Iran University of Medical Sciences, Tehran, IranDepartment of Emergency Medicine, Hafte Tir Hospital, Iran University of Medical Sciences, Tehran, IranDepartment of Medicine, School of Medicine, Tehran University of Medical Sciences, Tehran, IranDepartment of Community Nutrition, Faculty of Nutrition and Food Technology, Shahid Beheshti University of Medical Sciences, Tehran, IranDepartment of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.Department of Emergency Medicine, Ilam University of Medical Sciences, Ilam, Iran.Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.<p><strong>Introduction: </strong>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.</p><p><strong>Methods: </strong>In this comparative study trauma patients brought to five EDs in different cities of Iran during the year 2016 were included. After data collection, discriminatory power and calibration of the models were assessed and compared using STATA 11.</p><p><strong>Results: </strong>2148 patients with the mean age of 39.50±17.27 years were included (75.56% males). The AUC of RTS and WPSS models for prediction of mortality were 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 (95% CI: 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).</p><p><strong>Conclusion: </strong>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.</p>http://journals.sbmu.ac.ir/emergency/article/view/14682Trauma Severity IndicesPrognosisTraumaemergency departmentdecision support techniques |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Babak Nakhjavan-Shahraki Mahmoud Yousefifard Mohammad Javad Hajighanbari Masoud Baikpour Jalaledin Mirzay Razaz Mehdi Yaseri Kavous Shahsavari Fatemeh Mahdizadeh Mostafa Hosseini |
spellingShingle |
Babak Nakhjavan-Shahraki Mahmoud Yousefifard Mohammad Javad Hajighanbari Masoud Baikpour Jalaledin Mirzay Razaz Mehdi Yaseri Kavous Shahsavari Fatemeh Mahdizadeh Mostafa Hosseini Worthing Physiological Score vs Revised Trauma Score in Outcome Prediction of Trauma patients; a Comparative Study Emergency Trauma Severity Indices Prognosis Trauma emergency department decision support techniques |
author_facet |
Babak Nakhjavan-Shahraki Mahmoud Yousefifard Mohammad Javad Hajighanbari Masoud Baikpour Jalaledin Mirzay Razaz Mehdi Yaseri Kavous Shahsavari Fatemeh Mahdizadeh Mostafa Hosseini |
author_sort |
Babak Nakhjavan-Shahraki |
title |
Worthing Physiological Score vs Revised Trauma Score in Outcome Prediction of Trauma patients; a Comparative Study |
title_short |
Worthing Physiological Score vs Revised Trauma Score in Outcome Prediction of Trauma patients; a Comparative Study |
title_full |
Worthing Physiological Score vs Revised Trauma Score in Outcome Prediction of Trauma patients; a Comparative Study |
title_fullStr |
Worthing Physiological Score vs Revised Trauma Score in Outcome Prediction of Trauma patients; a Comparative Study |
title_full_unstemmed |
Worthing Physiological Score vs Revised Trauma Score in Outcome Prediction of Trauma patients; a Comparative Study |
title_sort |
worthing physiological score vs revised trauma score in outcome prediction of trauma patients; a comparative study |
publisher |
Shahid Beheshti University of Medical Sciences |
series |
Emergency |
issn |
2345-4563 2345-4571 |
publishDate |
2016-12-01 |
description |
<p><strong>Introduction: </strong>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.</p><p><strong>Methods: </strong>In this comparative study trauma patients brought to five EDs in different cities of Iran during the year 2016 were included. After data collection, discriminatory power and calibration of the models were assessed and compared using STATA 11.</p><p><strong>Results: </strong>2148 patients with the mean age of 39.50±17.27 years were included (75.56% males). The AUC of RTS and WPSS models for prediction of mortality were 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 (95% CI: 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).</p><p><strong>Conclusion: </strong>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.</p> |
topic |
Trauma Severity Indices Prognosis Trauma emergency department decision support techniques |
url |
http://journals.sbmu.ac.ir/emergency/article/view/14682 |
work_keys_str_mv |
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