Cargando…
Comparison of ISS, NISS, and RTS score as predictor of mortality in pediatric fall
BACKGROUND: Studies to identify an ideal trauma score tool representing prediction of outcomes of the pediatric fall patient remains elusive. Our study was undertaken to identify better predictor of mortality in the pediatric fall patients. METHODS: Data was retrieved from prospectively maintained t...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2017
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5547492/ https://www.ncbi.nlm.nih.gov/pubmed/28795055 http://dx.doi.org/10.1186/s41038-017-0087-7 |
_version_ | 1783255702261727232 |
---|---|
author | Soni, Kapil Dev Mahindrakar, Santosh Gupta, Amit Kumar, Subodh Sagar, Sushma Jhakal, Ashish |
author_facet | Soni, Kapil Dev Mahindrakar, Santosh Gupta, Amit Kumar, Subodh Sagar, Sushma Jhakal, Ashish |
author_sort | Soni, Kapil Dev |
collection | PubMed |
description | BACKGROUND: Studies to identify an ideal trauma score tool representing prediction of outcomes of the pediatric fall patient remains elusive. Our study was undertaken to identify better predictor of mortality in the pediatric fall patients. METHODS: Data was retrieved from prospectively maintained trauma registry project at level 1 trauma center developed as part of Multicentric Project—Towards Improving Trauma Care Outcomes (TITCO) in India. Single center data retrieved from a prospectively maintained trauma registry at a level 1 trauma center, New Delhi, for a period ranging from 1 October 2013 to 17 February 2015 was evaluated. Standard anatomic scores Injury Severity Score (ISS) and New Injury Severity Score (NISS) were compared with physiologic score Revised Trauma Score (RTS) using receiver operating curve (ROC). RESULTS: Heart rate and RTS had a statistical difference among the survivors to nonsurvivors. ISS, NISS, and RTS were having 50, 50, and 86% of area under the curve on ROCs, and RTS was statistically significant among them. CONCLUSIONS: Physiologically based trauma score systems (RTS) are much better predictors of inhospital mortality in comparison to anatomical based scoring systems (ISS and NISS) for unintentional pediatric falls. |
format | Online Article Text |
id | pubmed-5547492 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-55474922017-08-09 Comparison of ISS, NISS, and RTS score as predictor of mortality in pediatric fall Soni, Kapil Dev Mahindrakar, Santosh Gupta, Amit Kumar, Subodh Sagar, Sushma Jhakal, Ashish Burns Trauma Research Article BACKGROUND: Studies to identify an ideal trauma score tool representing prediction of outcomes of the pediatric fall patient remains elusive. Our study was undertaken to identify better predictor of mortality in the pediatric fall patients. METHODS: Data was retrieved from prospectively maintained trauma registry project at level 1 trauma center developed as part of Multicentric Project—Towards Improving Trauma Care Outcomes (TITCO) in India. Single center data retrieved from a prospectively maintained trauma registry at a level 1 trauma center, New Delhi, for a period ranging from 1 October 2013 to 17 February 2015 was evaluated. Standard anatomic scores Injury Severity Score (ISS) and New Injury Severity Score (NISS) were compared with physiologic score Revised Trauma Score (RTS) using receiver operating curve (ROC). RESULTS: Heart rate and RTS had a statistical difference among the survivors to nonsurvivors. ISS, NISS, and RTS were having 50, 50, and 86% of area under the curve on ROCs, and RTS was statistically significant among them. CONCLUSIONS: Physiologically based trauma score systems (RTS) are much better predictors of inhospital mortality in comparison to anatomical based scoring systems (ISS and NISS) for unintentional pediatric falls. BioMed Central 2017-08-08 /pmc/articles/PMC5547492/ /pubmed/28795055 http://dx.doi.org/10.1186/s41038-017-0087-7 Text en © The Author(s) 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Soni, Kapil Dev Mahindrakar, Santosh Gupta, Amit Kumar, Subodh Sagar, Sushma Jhakal, Ashish Comparison of ISS, NISS, and RTS score as predictor of mortality in pediatric fall |
title | Comparison of ISS, NISS, and RTS score as predictor of mortality in pediatric fall |
title_full | Comparison of ISS, NISS, and RTS score as predictor of mortality in pediatric fall |
title_fullStr | Comparison of ISS, NISS, and RTS score as predictor of mortality in pediatric fall |
title_full_unstemmed | Comparison of ISS, NISS, and RTS score as predictor of mortality in pediatric fall |
title_short | Comparison of ISS, NISS, and RTS score as predictor of mortality in pediatric fall |
title_sort | comparison of iss, niss, and rts score as predictor of mortality in pediatric fall |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5547492/ https://www.ncbi.nlm.nih.gov/pubmed/28795055 http://dx.doi.org/10.1186/s41038-017-0087-7 |
work_keys_str_mv | AT sonikapildev comparisonofissnissandrtsscoreaspredictorofmortalityinpediatricfall AT mahindrakarsantosh comparisonofissnissandrtsscoreaspredictorofmortalityinpediatricfall AT guptaamit comparisonofissnissandrtsscoreaspredictorofmortalityinpediatricfall AT kumarsubodh comparisonofissnissandrtsscoreaspredictorofmortalityinpediatricfall AT sagarsushma comparisonofissnissandrtsscoreaspredictorofmortalityinpediatricfall AT jhakalashish comparisonofissnissandrtsscoreaspredictorofmortalityinpediatricfall |