scholarly journals Evaluation of the Revised Trauma Score in Predicting Outcomes of Trauma Patients

2013 ◽  
Vol 20 (4) ◽  
pp. 234-239
Author(s):  
H Li ◽  
WF Shen ◽  
XJ He ◽  
JS Wu ◽  
JH Yi ◽  
...  
Keyword(s):  
Trauma Patients ◽  
Revised Trauma Score ◽  
Trauma Score

scholarly journals Cox Regression Analysis of 1739 Emergency Trauma Patients

2020 ◽  
Author(s):  
Jun Shen ◽  
Feng Xu ◽  
Du Chen
Keyword(s):  
Risk Factors ◽  
Regression Analysis ◽  
Oxygen Saturation ◽  
Cox Regression ◽  
Trauma Patients ◽  
Term Survival ◽  
Cox Regression Analysis ◽  
Revised Trauma Score ◽  
Independent Risk Factors ◽  
Trauma Score

Abstract BACKGROUND: Trauma is a damage caused by physical harm from external source. It has been one of the major causes of mortality. The purpose of this study was to explore the risk factors related to mortality among emergency trauma patients. METHODS: This was a retrospective study in trauma center of the First Affiliated Hospital of Soochow University. The data were obtained from trauma database with patients registered from November 1, 2016 to November 30, 2019.Shapiro–Wilk test, Mann-Whitney test and Likelihood-ratio Chi squared test were used to assess the survival pattern. Cox regressions were performed to calculate the hazard ratios (HRs) of variables for death. RESULTS: The total 1739 emergency trauma patients, 44 (2.53%) died during the study period and 1695 (97.47%) were survival. Through univariable and multivariable Cox regression analysis, three independent risk factors for emergency death were screened out: pulse (Crude HR: 0.97, 95% Confidence Interval [CI]: 0.96-0.98; Adjuste HR: 1.04, 95% CI: 1.02-1.06), pulse oxygen saturation (Crude HR: 0.96, 95% CI: 0.95-0.97; Adjuste HR: 0.94, 95% CI: 0.91-0.97) and Revised Trauma Score (Crude HR: 0.69, 95% CI: 0.65-0.74; Adjuste HR: 0.79, 95% CI: 0.64-0.97).CONCLUSION: The survival outcome of emergency trauma patients was influenced by many factors. Pulse, pulse oxygen saturation (SpO2 ) and Revised Trauma Score (RTS) were the independent risk factors for mortality. Accurate analysis and judgment of the risk factors can improve cure efficiency and long-term survival rate.

Geriatric Trauma Patients at a Suburban Level-I Trauma Center in Japan

1999 ◽  
Vol 14 (3) ◽  
pp. 79-83 ◽  
Author(s):  
Katsuhiko Sugimoto ◽  
Toru Aruga ◽  
Mitsuhiro Hirata ◽  
Masateru Shindo
Keyword(s):  
Mortality Rate ◽  
Emergency Medical Services ◽  
Trauma Center ◽  
Geriatric Trauma ◽  
Control Group ◽  
Trauma Patients ◽  
Direct Transfer ◽  
Emergency Center ◽  
Revised Trauma Score ◽  
Trauma Score

AbstractBackground:Despite the increases in the aged population in Japan, there are little data on geriatric patients with traumatic injuries. A prospective clinical study was carried out to evaluate the use of the emergency medical services (emergency medical services) system, mechanisms of injury, and prehospital assessment and triage of elderly victims of trauma.Patients and Methods:From July 1996 through June 1997, a group of geriatric trauma (Group G, n = 22) and a control group of younger trauma patients (n = 173) were compared with respect to transfer method to an Emergency Center (direct or indirect), Revised Trauma Scores on the scene of the accident (revised trauma score-l) and on admission to the Emergency Center (revised trauma score-2), and outcome (survival).Results:The mean values for revised trauma score-l in the Control Group (Group C) were not different from those in Group G, but revised trauma score-2 of the indirect-transfer patients (indirectly transported patients) in Group G were significantly lower than were those for Group C. Group G mortality rates were significantly higher than were the control rates (p = 0.0001). The mortality rate of the indirectly transported patients subgroup was significantly lower than that of the direct transfer subgroup (directly transported patients) (30/68 vs. 5/70, p<0.0001) in the Group C, but mortality rate of the indirectly transported patients subgroup exceeded that of the directly transported patients subgroup of Group G (8/14 vs. 5/8).Conclusion:The data suggest that in geriatric-age patients, direct transfer patients have a lower mortality rate than do indirect transfer patients when controlled for injury severity score. Therefore, it seems that a different set of triage criteria should be developed and implemented for geriatric-age victims with trauma-induced injuries and that those who meet these more stringent criteria should be transferred directly to a Trauma Center.

Scoring acuity hours and costs of nursing for trauma care

1993 ◽  
Vol 2 (6) ◽  
pp. 436-443 ◽  
Author(s):  
AE Bond ◽  
FO Thomas ◽  
RL Menlove ◽  
P MacFarlane ◽  
P Petersen
Keyword(s):  
Resource Utilization ◽  
Injury Severity ◽  
Scoring Systems ◽  
Cost Of Care ◽  
Trauma Patients ◽  
Nursing Educators ◽  
Revised Trauma Score ◽  
Trauma Scoring ◽  
Level I ◽  
Trauma Score

OBJECTIVE: To determine nursing resource utilization (acuity hours and dollars) by trauma patients based on analysis of a nursing acuity system and five trauma scoring systems. METHODS: Retrospective review of 448 trauma patients who required transport by aircraft to a level I trauma center. Values from the institution's automated nursing acuity system were compared with the Glasgow Coma Scale score, trauma score, revised trauma score, CRAMS score and injury severity score to obtain acuity hours and financial cost of care for trauma patients. RESULTS: Consistently, analysis of scores computed by five scoring instruments confirmed that nursing resource utilization is greatest for patients who are severely injured but likely to recover. For example, patients with a trauma score of 1 required 49 (+/- 66) mean acuity hours of care; those with a trauma score of 8 needed 189 (+/- 229) mean acuity hours; and those with a trauma score of 16 used 73 (+/- 120) mean acuity hours. Mean dollar costs were $980 (+/- 1293), $3812 (+/- 4518) and $1492 (+/- 2473), respectively. CONCLUSIONS: Nursing resource utilization can be determined for trauma patients by using an automated nursing acuity system and trauma scoring systems. Data acquired in this way provide a concrete basis for healthcare and reimbursement reform, for administrators who design nursing allocations and for nursing educators who prepare graduates to meet the needs of healthcare consumers.

Improving the Performance of the Revised Trauma Score for Pediatric Trauma Patients Using Shock Index and Oxygen Saturation

2018 ◽  
Vol 227 (4) ◽  
pp. S265
Author(s):  
Radu Filipescu ◽  
Colin Powers ◽  
David H. Rothstein ◽  
Carroll M. Harmon ◽  
Brian M. Clemency ◽  
...  
Keyword(s):  
Oxygen Saturation ◽  
Pediatric Trauma ◽  
Trauma Patients ◽  
Shock Index ◽  
Revised Trauma Score ◽  
Trauma Score

The Revised Trauma Score plus serum albumin level improves the prediction of mortality in trauma patients

2017 ◽  
Vol 35 (12) ◽  
pp. 1882-1886 ◽  
Author(s):  
Seong Chun Kim ◽  
Dong Hoon Kim ◽  
Tae Yun Kim ◽  
Changwoo Kang ◽  
Soo Hoon Lee ◽  
...  
Keyword(s):  
Serum Albumin ◽  
Serum Albumin Level ◽  
Albumin Level ◽  
Trauma Patients ◽  
Prediction Of Mortality ◽  
Revised Trauma Score ◽  
Trauma Score

scholarly journals Predictive value of Modified Early Warning Score (MEWS) and Revised Trauma Score (RTS) for the short-term prognosis of emergency trauma patients: a retrospective study

BMJ Open ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. e041882
Author(s):  
Zhejun Yu ◽  
Feng Xu ◽  
Du Chen
Keyword(s):  
Early Warning ◽  
Predictive Value ◽  
Southern China ◽  
Area Under The Curve ◽  
Early Warning Score ◽  
Trauma Patients ◽  
Short Term ◽  
Survival Group ◽  
Revised Trauma Score ◽  
Trauma Score

ObjectivesThis study aimed to assess the predictive value of the Modified Early Warning Score (MEWS) and Revised Trauma Score (RTS) for emergency trauma patients who died within 24 hours.DesignA retrospective, single-centred study.SettingThis study was conducted at a tertiary hospital in Southern China.ParticipantsA total of 1739 patients with acute trauma, aged 16 years or older who presented to the emergency department from 1 November 2016 to 30 November 2019, were included.Interventions noneNone.Outcome24-hour mortality was the primary outcome of trauma.Results1739 patients were divided into the survival group (1709 patients,98.27%), and the non-survival group (30 patients,1.73%). Crude OR and adjusted OR of MEWS were 1.99, 95% CI (1.73 to 2.29), and 2.00, 95% CI (1.74 to 2.31), p<0.001, respectively. Crude OR and adjusted OR of RTS were 0.62, 95% CI (0.55 to 0.69) and 0.61, 95% CI (0.55 to 0.68), p<0.001, respectively. The area under the curve of MEWS was significantly higher than that of RTS (p=0.005): 0.927, 95% CI (0.914 to 0.939) vs 0.799, 95% CI (0.779 to 0.817).ConclusionsBoth MEWS and RTS were independent predictors of the short-term prognosis in emergency trauma patients, MEWS had better predictive efficacy.

Sign in / Sign up

Export Citation Format

Share Document