COMPARING THE PREDICTIVE ABILITY FOR MORTALITY RATES BY GAP AND MGAP SCORING SYSTEMS IN MULTIPLE-TRAUMA PATIENTS

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SOLTANI YASAMAN; KHALEGHDOOST MOHAMMADI TAHEREH; ADIB MASOOMEH; KAZEMNEJAD EHSAN; AGHAEI IRAJ; GHANBARI ATEFEH

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Journal: Journal of Mazandaran University of Medical Sciences Year:2018 | Volume:27 | Issue:157 Page(s): 118-132

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Title

COMPARING THE PREDICTIVE ABILITY FOR MORTALITY RATES BY GAP AND MGAP SCORING SYSTEMS IN MULTIPLE-TRAUMA PATIENTS

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Keywords

MORTALITY PREDICTIONQ1

TRAUMA SCORING SYSTEMQ1

GAPQ1

MGAPQ1

MULTIPLE TRAUMAQ1

Abstract

Background and purpose: TRAUMA SCORING SYSTEMs help physicians and nurses in recognizingthe severity of trauma and its management. The purpose of this study was to investigate and compare thepredictive ability of mortality rates of two TRAUMA SCORING SYSTEMs (MGAP and GAP) in MULTIPLE TRAUMApatients. Materials and methods: In this cross-sectional study, we used the data available in electronicrecords for trauma patients admitted to Rasht Poorsina Hospital, Iran. Demographic data, and GAP andMGAP (Mechanism, Glasgow Coma Scale, Age, and Pressure) scores for 1541 patients were extracted. Then, the ability of both scores in short-term (24 hours) and long-term (4-week) MORTALITY PREDICTION rateswas analyzed using SPSS V21. Results: The surface areas under the curve ratio of ROC for predicting short-term mortality rateswere 0. 947 and 0. 938, and for long-term mortality rates were 0. 928 and 0. 914 for GAP and MGAP, respectively (P<0. 001). Also, Kappa coefficient for agreement of both scoring systems was 0. 754 and0. 462, respectively. The best cut-off values for GAP and MGAP in predicting short-term mortality rateswere 16 and 21 with sensitivity rates of 97. 6% and 96. 6%, specificity rates of 81. 1% and 83%, andaccuracy rates of 97. 1% and 96. 2%, respectively, while in the long-term mortality rates these values were19 and 22 with sensitivity rates of 92. 4% and 92. 6%, specificity rates of 80%, and accuracy rates of91. 95% and 92. 1%, respectively. Conclusion: Both GAP and MGAP could appropriately predict mortality rate without anysignificant difference. Therefore, these scores could be used as triage tools, and in predicting the severityof injuries and mortality.

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APA: Copy

SOLTANI, YASAMAN, KHALEGHDOOST MOHAMMADI, TAHEREH, ADIB, MASOOMEH, KAZEMNEJAD, EHSAN, AGHAEI, IRAJ, & GHANBARI, ATEFEH. (2018). COMPARING THE PREDICTIVE ABILITY FOR MORTALITY RATES BY GAP AND MGAP SCORING SYSTEMS IN MULTIPLE-TRAUMA PATIENTS. JOURNAL OF MAZANDARAN UNIVERSITY OF MEDICAL SCIENCES, 27(157 ), 118-132. SID. https://sid.ir/paper/46030/en

Vancouver: Copy

SOLTANI YASAMAN, KHALEGHDOOST MOHAMMADI TAHEREH, ADIB MASOOMEH, KAZEMNEJAD EHSAN, AGHAEI IRAJ, GHANBARI ATEFEH. COMPARING THE PREDICTIVE ABILITY FOR MORTALITY RATES BY GAP AND MGAP SCORING SYSTEMS IN MULTIPLE-TRAUMA PATIENTS. JOURNAL OF MAZANDARAN UNIVERSITY OF MEDICAL SCIENCES[Internet]. 2018;27(157 ):118-132. Available from: https://sid.ir/paper/46030/en

IEEE: Copy

YASAMAN SOLTANI, TAHEREH KHALEGHDOOST MOHAMMADI, MASOOMEH ADIB, EHSAN KAZEMNEJAD, IRAJ AGHAEI, and ATEFEH GHANBARI, “COMPARING THE PREDICTIVE ABILITY FOR MORTALITY RATES BY GAP AND MGAP SCORING SYSTEMS IN MULTIPLE-TRAUMA PATIENTS,” JOURNAL OF MAZANDARAN UNIVERSITY OF MEDICAL SCIENCES, vol. 27, no. 157 , pp. 118–132, 2018, [Online]. Available: https://sid.ir/paper/46030/en

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