Comparison of Revised Trauma Score, Injury Severity Score and Trauma and Injury Severity Score for mortality prediction in elderly trauma patients

RAZZAGHİ, Alireza; HOSSEİNPOUR, Marieh; MOHTASHAMAMİRİ, Zahra; YOUSEFZADEH-CHABOK, Shahrokh; KOUCHAKİNEJADERAMSADATİ, Leila; RANJBAR, Fatemeh; MALEKPOURİ, Reza

Comparison of Revised Trauma Score, Injury Severity Score and Trauma and Injury Severity Score for mortality prediction in elderly trauma patients

Shahrokh YOUSEFZADEH-CHABOK, (Guilan University of Medical Sciences, Rasht-Iran)

Marieh HOSSEİNPOUR, (Guilan University of Medical Sciences, Rasht-Iran)

Leila KOUCHAKİNEJADERAMSADATİ, (Guilan University of Medical Sciences, Rasht-Iran)

Fatemeh RANJBAR, (Guilan University of Medical Sciences, Rasht-Iran)

Reza MALEKPOURİ, (Guilan University of Medical Sciences, Rasht-Iran)

Alireza RAZZAGHİ, (Guilan University of Medical Sciences, Rasht-Iran)

Zahra MOHTASHAMAMİRİ (Guilan University of Medical Sciences, Rasht-Iran)

Ulusal Travma ve Acil Cerrahi Dergisi

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Yıl: 2016 Cilt: 22 Sayı: 6 Sayfa Aralığı: 536 - 540 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

Comparison of Revised Trauma Score, Injury Severity Score and Trauma and Injury Severity Score for mortality prediction in elderly trauma patients

Öz:

BACKGROUND: Trauma is the fifth leading cause of death in patients 65 years and older. This study is a comparison of results of Revised Trauma Score (RTS), Injury Severity Score (ISS), and Trauma and Injury Severity Score (TRISS) in prediction of mortality in cases of geriatric trauma.METHODS: This is a cross-sectional study of records of 352 elderly trauma patients who were admitted to Pour-Sina Hospital in Rasht between 2010 and 2011. Injury scoring systems were compared in terms of specificity, sensitivity, and cut-off points using receiver operating characteristic curve of patient prognosis.RESULTS: Mean age of patients was 71.5 years. Most common mechanism of injury was traffic accident (53.7%). Of the total, 13.9% of patients died. Mean ISS was higher for patients who did not survive. Mean of TRISS and RTS scores in elderly survivors was higher than non-survivors and difference in all 3 scores was statistically significant (p<0.001). Best cut-off points for predicting mortality in elderly trauma patients in RTS, ISS, and TRISS systems were <=6, >=13.5, and <=2, with sensitivity of 99%, 84%, and 95% and specificity of 62%, 62%, and 72%, respectively.CONCLUSION: TRISS was the strongest predictor of mortality in elderly trauma patients as result of combination of both anatomical and physiological parameters.

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Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. Adib-Hajbaghery M, Aghahoseini S. The evaluation of disability and its related factors among the elderly population in Kashan, Iran. BMC Public Health 2007;7:261.
2. Tavakoli H, Ahmadi-Amoli H, Yaghoobi Notash A, Adelyazdankhah Konari A, Gholkhani F, Khashayar P. Trauma-related Mortality and Morbidity due to Trauma in the Elderly. Iranian Journal of Aging 2009;4:30-6.
3. Jacobs DG. Special considerations in geriatric injury. Curr Opin Crit Care 2003;9:535-9.
4. Parreira JG, Farrath S, Soldá SC, Perlingeiro JA, Assef JC. Comparative analysis of trauma characteristics between elderly and superelderly. Rev Col Bras Cir 2013;40:269-74.
5. Chu I, Vaca F, Stratton S, Chakravarthy B, Hoonpongsimanont W, Lotfipour S. Geriatric trauma care: challenges facing emergency medical services. Cal J Emerg Med 2007;8:51-5.
6. Callaway DW, Wolfe R. Geriatric trauma. Emerg Med Clin North Am 2007;25:837-60.
7. Heffernan DS, Thakkar RK, Monaghan SF, Ravindran R, Adams CA Jr, Kozloff MS, et al. Normal presenting vital signs are unreliable in geriatric blunt trauma victims. J Trauma 2010;69:813-20.
8. Victorino GP, Chong TJ, Pal JD. Trauma in the elderly patient. Arch Surg 2003;138:1093-8.
9. Aschkenasy MT, Rothenhaus TC. Trauma and falls in the elderly. Emerg Med Clin North Am 2006;24:413-32.
10. Tajvar M, Arab M, Montazeri A. Determinants of health-related quality of life in elderly in Tehran, Iran. BMC Public Health 2008;8:323:1-8.
11. Mangram AJ, Mitchell CD, Shifflette VK, Lorenzo M, Truitt MS, Goel A, et al. Geriatric trauma service: a one-year experience. J Trauma Acute Care Surg 2012;72:119-22.
12. Sasser S, Varghese M, Kellermann A, Lormand JD. Prehospital trauma care system. World Health OrganizationGeneva.2005.on May 2015, In: http://www.who.int/violence_injury_prevention/media/ news/04_07_2005/en/, Access on 2015.05.01.
13. MacKenzie EJ, Rivara FP, Jurkovich GJ, Nathens AB, Frey KP, Egleston BL, et al. A national evaluation of the effect of trauma-center care on mortality. N Engl J Med 2006;354:366-78.
14. Sharma BR. Triage in trauma-care system: a forensic view. J Clin Forensic Med 2005;12:64-73.
15. Moradi Lakeh M, Tehrani-Banihashemi S.A., Varasteh-Kia G.R, Roohipour M.R. Comparison of Trauma Scoring Systems for Prediction of Patients' Prognosis. RJMS 2002;9:128-9.
16. Chawda MN, Hildebrand F, Pape HC, Giannoudis PV. Predicting outcome after multiple trauma: which scoring system? Injury 2004;35:347- 58.
17. Champion HR. Trauma scoring. Scand J Surg 2002;91:12-22.
18. Guzzo JL, Bochicchio GV, Napolitano LM, Malone DL, Meyer W, Scalea TM. Prediction of outcomes in trauma: anatomic or physiologic parameters? J Am Coll Surg 2005;201:891-7.
19. Grinkeviciute DE, Kevalas R, Saferis V, Matukevicius A, Ragaisis V, Tamasauskas A. Predictive value of scoring system in severe pediatric head injury. Medicina (Kaunas) 2007;43:861-9.
20. Norouzi V, Feizi I, Vatankhah S, Pourshaikhian M. Calculation of the probability of survival for trauma patients based on trauma score and the injury severity score model in fatemi hospital in ardabil. Arch Trauma Res 2013;2:30-5.
21. Cevik Y, Doğan NÖ, Daş M, Karakayali O, Delice O, Kavalci C. Evaluation of geriatric patients with trauma scores after motor vehicle trauma. Am J Emerg Med 2013;31:1453-6.
22. Akköse Aydin S, Bulut M, Fedakar R, Ozgürer A, Ozdemir F. Trauma in the elderly patients in Bursa. Ulus Travma Acil Cerrahi Derg 2006;12:230-4.
23. Joseph B, Pandit V, Rhee P, Aziz H, Sadoun M, Wynne J, et al. Predicting hospital discharge disposition in geriatric trauma patients: is frailty the answer? J Trauma Acute Care Surg 2014;76:196-200.
24. Bradburn E, Rogers FB, Krasne M, Rogers A, Horst MA, Beelen MJ, et al. High-risk geriatric protocol: improving mortality in the elderly. J Trauma Acute Care Surg 2012;73:435-40.
25. Ferrera PC, Bartfield JM, D'Andrea CC. Outcomes of admitted geriatric trauma victims. Am J Emerg Med 2000;18:575-80.
26. Richmond TS, Kauder D, Strumpf N, Meredith T. Characteristics and outcomes of serious traumatic injury in older adults. J Am Geriatr Soc 2002;50:215-22.
27. Kim JK, Choe MS, Lee JH, Park JB, Seo KS, Yun YK. Factors Influencing Mortality in Geriatric Trauma. J Korean Soc Emerg Med 1999;10:421-30.
28. Murlidhar V, Roy N. Measuring trauma outcomes in India: an analysis based on TRISS methodology in a Mumbai university hospital. Injury 2004;35:386-90.
29. Mitchell AD, Tallon JM, Sealy B. Air versus ground transport of major trauma patients to a tertiary trauma centre: a province-wide comparison using TRISS analysis. Can J Surg 2007;50:129-33.
30. Hariharan S, Chen D, Parker K, Figari A, Lessey G, Absolom D, et al. Evaluation of trauma care applying TRISS methodology in a Caribbean developing country. J Emerg Med 2009;37:85-90.

APA	YOUSEFZADEH-CHABOK S, HOSSEİNPOUR M, KOUCHAKİNEJADERAMSADATİ L, RANJBAR F, MALEKPOURİ R, RAZZAGHİ A, MOHTASHAMAMİRİ Z (2016). Comparison of Revised Trauma Score, Injury Severity Score and Trauma and Injury Severity Score for mortality prediction in elderly trauma patients. , 536 - 540.
Chicago	YOUSEFZADEH-CHABOK Shahrokh,HOSSEİNPOUR Marieh,KOUCHAKİNEJADERAMSADATİ Leila,RANJBAR Fatemeh,MALEKPOURİ Reza,RAZZAGHİ Alireza,MOHTASHAMAMİRİ Zahra Comparison of Revised Trauma Score, Injury Severity Score and Trauma and Injury Severity Score for mortality prediction in elderly trauma patients. (2016): 536 - 540.
MLA	YOUSEFZADEH-CHABOK Shahrokh,HOSSEİNPOUR Marieh,KOUCHAKİNEJADERAMSADATİ Leila,RANJBAR Fatemeh,MALEKPOURİ Reza,RAZZAGHİ Alireza,MOHTASHAMAMİRİ Zahra Comparison of Revised Trauma Score, Injury Severity Score and Trauma and Injury Severity Score for mortality prediction in elderly trauma patients. , 2016, ss.536 - 540.
AMA	YOUSEFZADEH-CHABOK S,HOSSEİNPOUR M,KOUCHAKİNEJADERAMSADATİ L,RANJBAR F,MALEKPOURİ R,RAZZAGHİ A,MOHTASHAMAMİRİ Z Comparison of Revised Trauma Score, Injury Severity Score and Trauma and Injury Severity Score for mortality prediction in elderly trauma patients. . 2016; 536 - 540.
Vancouver	YOUSEFZADEH-CHABOK S,HOSSEİNPOUR M,KOUCHAKİNEJADERAMSADATİ L,RANJBAR F,MALEKPOURİ R,RAZZAGHİ A,MOHTASHAMAMİRİ Z Comparison of Revised Trauma Score, Injury Severity Score and Trauma and Injury Severity Score for mortality prediction in elderly trauma patients. . 2016; 536 - 540.
IEEE	YOUSEFZADEH-CHABOK S,HOSSEİNPOUR M,KOUCHAKİNEJADERAMSADATİ L,RANJBAR F,MALEKPOURİ R,RAZZAGHİ A,MOHTASHAMAMİRİ Z "Comparison of Revised Trauma Score, Injury Severity Score and Trauma and Injury Severity Score for mortality prediction in elderly trauma patients." , ss.536 - 540, 2016.
ISNAD	YOUSEFZADEH-CHABOK, Shahrokh vd. "Comparison of Revised Trauma Score, Injury Severity Score and Trauma and Injury Severity Score for mortality prediction in elderly trauma patients". (2016), 536-540.

APA	YOUSEFZADEH-CHABOK S, HOSSEİNPOUR M, KOUCHAKİNEJADERAMSADATİ L, RANJBAR F, MALEKPOURİ R, RAZZAGHİ A, MOHTASHAMAMİRİ Z (2016). Comparison of Revised Trauma Score, Injury Severity Score and Trauma and Injury Severity Score for mortality prediction in elderly trauma patients. Ulusal Travma ve Acil Cerrahi Dergisi, 22(6), 536 - 540.
Chicago	YOUSEFZADEH-CHABOK Shahrokh,HOSSEİNPOUR Marieh,KOUCHAKİNEJADERAMSADATİ Leila,RANJBAR Fatemeh,MALEKPOURİ Reza,RAZZAGHİ Alireza,MOHTASHAMAMİRİ Zahra Comparison of Revised Trauma Score, Injury Severity Score and Trauma and Injury Severity Score for mortality prediction in elderly trauma patients. Ulusal Travma ve Acil Cerrahi Dergisi 22, no.6 (2016): 536 - 540.
MLA	YOUSEFZADEH-CHABOK Shahrokh,HOSSEİNPOUR Marieh,KOUCHAKİNEJADERAMSADATİ Leila,RANJBAR Fatemeh,MALEKPOURİ Reza,RAZZAGHİ Alireza,MOHTASHAMAMİRİ Zahra Comparison of Revised Trauma Score, Injury Severity Score and Trauma and Injury Severity Score for mortality prediction in elderly trauma patients. Ulusal Travma ve Acil Cerrahi Dergisi, vol.22, no.6, 2016, ss.536 - 540.
AMA	YOUSEFZADEH-CHABOK S,HOSSEİNPOUR M,KOUCHAKİNEJADERAMSADATİ L,RANJBAR F,MALEKPOURİ R,RAZZAGHİ A,MOHTASHAMAMİRİ Z Comparison of Revised Trauma Score, Injury Severity Score and Trauma and Injury Severity Score for mortality prediction in elderly trauma patients. Ulusal Travma ve Acil Cerrahi Dergisi. 2016; 22(6): 536 - 540.
Vancouver	YOUSEFZADEH-CHABOK S,HOSSEİNPOUR M,KOUCHAKİNEJADERAMSADATİ L,RANJBAR F,MALEKPOURİ R,RAZZAGHİ A,MOHTASHAMAMİRİ Z Comparison of Revised Trauma Score, Injury Severity Score and Trauma and Injury Severity Score for mortality prediction in elderly trauma patients. Ulusal Travma ve Acil Cerrahi Dergisi. 2016; 22(6): 536 - 540.
IEEE	YOUSEFZADEH-CHABOK S,HOSSEİNPOUR M,KOUCHAKİNEJADERAMSADATİ L,RANJBAR F,MALEKPOURİ R,RAZZAGHİ A,MOHTASHAMAMİRİ Z "Comparison of Revised Trauma Score, Injury Severity Score and Trauma and Injury Severity Score for mortality prediction in elderly trauma patients." Ulusal Travma ve Acil Cerrahi Dergisi, 22, ss.536 - 540, 2016.
ISNAD	YOUSEFZADEH-CHABOK, Shahrokh vd. "Comparison of Revised Trauma Score, Injury Severity Score and Trauma and Injury Severity Score for mortality prediction in elderly trauma patients". Ulusal Travma ve Acil Cerrahi Dergisi 22/6 (2016), 536-540.