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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/Travma hastalarinin acil servis basvurularinda Revised trauma score, Injury severity score ve Trauma and injury severity score etkinliginin degerlendirilmesi

Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES, 2024-03, Vol.30 (3), p.192 [Peer Reviewed Journal]

COPYRIGHT 2024 KARE Publishing ;ISSN: 1306-696X ;DOI: 10.14744/tjtes.2024.73531

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  • Title:
    Evaluation of emergency department admissions of mass casualty patients using the revised trauma score, injury severity score, and trauma and injury severity score/Travma hastalarinin acil servis basvurularinda Revised trauma score, Injury severity score ve Trauma and injury severity score etkinliginin degerlendirilmesi
  • Author: Karaca, Bahadir ; Emem, Mehmet Kemal ; Celik, Burak ; Sahin, Nurdan Yilmaz
  • Subjects: Emergency service ; Hospitals ; Medical research ; Medicine, Experimental ; Mortality ; Syria
  • Is Part Of: Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES, 2024-03, Vol.30 (3), p.192
  • Description: 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 202l. 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<0.00l) 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. Keywords: Emergency department; mass casualty; RTS; ISS; TRISS; Syria. AMAC: Acil cerrahi onceliklendirmesinde hasta prognozunun tahmin edilebilmesi icin catisma bolgelerindeki kitlesel travma hastalarinda prognostik tahmin skorlama sistemlerini degerlendiren calismalara ihtiyac vardir. Bu calismada Suriye'nin kuzeyinde kitlesel travma nedeniyle basvuran hastalarda Revised Trauma Score (RTS), Injury Severity Score (ISS) ve Trauma and Injury Severity Score (TRISS) skalalarinin degerlendirilmesi amaclandi. GEREC VE YONTEM: Bu calismada, Suriye'nin kuzeyindeki hastanelerin acil servislerine kitlesel travma nedeniyle basvuran hastalarin retrospektif olarak degerlendirilmesi yapildi. 2021 yilinin ilk yarisinda bu basvurularda RTS, ISS ve TRISS puanlama sistemlerinin tanisal etkinligi degerlendirildi. BULGULAR: Kitlesel travmalarinin en sik nedenleri bomba patlamasi (%67.3), atesli silah yaralanmalari (%28.8) ve diger nedenlerdi (%3.9). Odds orani (OR) analiz edildiginde, RTS ve TRISS skorundaki bir birimlik artisin hayatta kalma ihtimalini 6.133 ve 1.057 kat arttirdigi, ancak ISS'deki her bir birimlik artisin, hastanin hayatta kalma olasiligini 0.856 birim azalttigi tespit edildi. RTS, TRISS ve ISS degerleri incelendiginde ROC egrisi altinda kalan alanin istatistiksel olarak anlamli oldugu (p<0.001) ve hepsinin sirasiyla %99.0, %94.8 ve % 91.9 duyarliliklarla; %87.8, %90.5 ve 88.6 ozgullukle; 0.958, 0.975 ve 0.958 AUC degerleri ile mortalite aCisindan tani degeri tasidigi goruldu. SONUC: Kapasite asimlarinda TRISS basta olmak uzere travma skorlama sistemlerinin kullanilmasi kitlesel travma hastalarinin onceliklendirilmesinde faydali olabilir. Anahtar sozcukler: Acil servis; kitlesel travma; RTS; ISS; TRISS; Suriye.
  • Publisher: KARE Publishing
  • Language: English
  • Identifier: ISSN: 1306-696X
    DOI: 10.14744/tjtes.2024.73531
  • Source: AUTh Library subscriptions: ProQuest Central
    Alma/SFX Local Collection
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