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New Trauma and Injury Severity Score (TRISS) adjustments for survival prediction

BACKGROUND: The objective of this study is to propose three new adjustments to the Trauma and Injury Severity Score (TRISS) equation and compare their performances with the original TRISS as well as this index with coefficients adjusted for the study population. METHODS: This multicenter, retrospect...

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Autores principales: Domingues, Cristiane de Alencar, Coimbra, Raul, Poggetti, Renato Sérgio, Nogueira, Lilia de Souza, de Sousa, Regina Marcia Cardoso
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5840784/
https://www.ncbi.nlm.nih.gov/pubmed/29541155
http://dx.doi.org/10.1186/s13017-018-0171-8
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author Domingues, Cristiane de Alencar
Coimbra, Raul
Poggetti, Renato Sérgio
Nogueira, Lilia de Souza
de Sousa, Regina Marcia Cardoso
author_facet Domingues, Cristiane de Alencar
Coimbra, Raul
Poggetti, Renato Sérgio
Nogueira, Lilia de Souza
de Sousa, Regina Marcia Cardoso
author_sort Domingues, Cristiane de Alencar
collection PubMed
description BACKGROUND: The objective of this study is to propose three new adjustments to the Trauma and Injury Severity Score (TRISS) equation and compare their performances with the original TRISS as well as this index with coefficients adjusted for the study population. METHODS: This multicenter, retrospective study evaluated trauma victims admitted to two hospitals in São Paulo-Brazil and San Diego-EUA between January 1st, 2006, and December 31st, 2010. The proposed models included a New Trauma and Injury Severity Score (NTRISS)-like model that included Best Motor Response (BMR), systolic blood pressure (SBP), New Injury Severity Score (NISS), and age variables; a TRISS peripheral oxygen saturation (SpO(2)) model that included Glasgow Coma Scale (GCS), SBP, SpO(2), Injury Severity Score, and age variables; and a NTRISS-like SpO(2) model that included BMR, SBP, SpO(2), NISS, and age variables. All equations were adjusted for blunt and penetrating trauma coefficients. The model coefficients were established by logistic regression analysis. Receiver operating characteristic (ROC) curve analysis was used to evaluate the performance of the models. RESULTS: The original TRISS (area under the curve (AUC) = 0.90), TRISS with adjusted coefficients (AUC = 0.89), and the new proposals (NTRISS-like, TRISS SpO(2), and NTRISS-like SpO(2)) showed no difference in performance (AUC = 0.89, 0.89, and 0.90, respectively). CONCLUSIONS: The new models demonstrated good accuracy and similar performance to the original TRISS and TRISS adjusted for coefficients in the study population; therefore, the new proposals may be useful for the assessments of quality of care in trauma patients using variables that are routinely measured and recorded.
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spelling pubmed-58407842018-03-14 New Trauma and Injury Severity Score (TRISS) adjustments for survival prediction Domingues, Cristiane de Alencar Coimbra, Raul Poggetti, Renato Sérgio Nogueira, Lilia de Souza de Sousa, Regina Marcia Cardoso World J Emerg Surg Research Article BACKGROUND: The objective of this study is to propose three new adjustments to the Trauma and Injury Severity Score (TRISS) equation and compare their performances with the original TRISS as well as this index with coefficients adjusted for the study population. METHODS: This multicenter, retrospective study evaluated trauma victims admitted to two hospitals in São Paulo-Brazil and San Diego-EUA between January 1st, 2006, and December 31st, 2010. The proposed models included a New Trauma and Injury Severity Score (NTRISS)-like model that included Best Motor Response (BMR), systolic blood pressure (SBP), New Injury Severity Score (NISS), and age variables; a TRISS peripheral oxygen saturation (SpO(2)) model that included Glasgow Coma Scale (GCS), SBP, SpO(2), Injury Severity Score, and age variables; and a NTRISS-like SpO(2) model that included BMR, SBP, SpO(2), NISS, and age variables. All equations were adjusted for blunt and penetrating trauma coefficients. The model coefficients were established by logistic regression analysis. Receiver operating characteristic (ROC) curve analysis was used to evaluate the performance of the models. RESULTS: The original TRISS (area under the curve (AUC) = 0.90), TRISS with adjusted coefficients (AUC = 0.89), and the new proposals (NTRISS-like, TRISS SpO(2), and NTRISS-like SpO(2)) showed no difference in performance (AUC = 0.89, 0.89, and 0.90, respectively). CONCLUSIONS: The new models demonstrated good accuracy and similar performance to the original TRISS and TRISS adjusted for coefficients in the study population; therefore, the new proposals may be useful for the assessments of quality of care in trauma patients using variables that are routinely measured and recorded. BioMed Central 2018-03-06 /pmc/articles/PMC5840784/ /pubmed/29541155 http://dx.doi.org/10.1186/s13017-018-0171-8 Text en © The Author(s). 2018 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
Domingues, Cristiane de Alencar
Coimbra, Raul
Poggetti, Renato Sérgio
Nogueira, Lilia de Souza
de Sousa, Regina Marcia Cardoso
New Trauma and Injury Severity Score (TRISS) adjustments for survival prediction
title New Trauma and Injury Severity Score (TRISS) adjustments for survival prediction
title_full New Trauma and Injury Severity Score (TRISS) adjustments for survival prediction
title_fullStr New Trauma and Injury Severity Score (TRISS) adjustments for survival prediction
title_full_unstemmed New Trauma and Injury Severity Score (TRISS) adjustments for survival prediction
title_short New Trauma and Injury Severity Score (TRISS) adjustments for survival prediction
title_sort new trauma and injury severity score (triss) adjustments for survival prediction
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5840784/
https://www.ncbi.nlm.nih.gov/pubmed/29541155
http://dx.doi.org/10.1186/s13017-018-0171-8
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