Physiologic Scoring Systems versus Glasgow Coma Scale in Predicting In-Hospital Mortality of Trauma Patients; a Diagnostic Accuracy Study

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HEYDARI FARHAD; AZIZKHANI REZA; AHMADI OMID; MAJIDINEJAD SAEED; Nasr Esfahani Mohammad; AHMADI AHMAD

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Journal: Archives of Academic Emergency Medicine Year:2021 | Volume:9 | Issue:1 Page(s): 0-0

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Title

Physiologic Scoring Systems versus Glasgow Coma Scale in Predicting In-Hospital Mortality of Trauma Patients; a Diagnostic Accuracy Study

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Keywords

Multiple trauma

Injury severity score

scoring system/ Clinical Decision Rules

Emergency service

hospital

Patient outcome assessment

Prognosis

Abstract

Introduction: In recent years, several scoring systems have been developed to assess the severity of trauma and predict the outcome of trauma patients. This study aimed to compare Rapid Emergency Medicine Score (REMS), Modified Early Warning Score (MEWS), Injury severity score (ISS), and Glasgow Coma Scale (GCS) in predicting the in-hospital mortality of trauma patients. Methods: This diagnostic accuracy study was done on adult patients admitted to the emergency department (ED) between June 21, 2019, and September 21, 2020, following Multiple trauma. Patients were followed as long as they were hospitalized. The REMS, MEWS, GCS, and ISS were calculated after data gathering and comprehensive assessment of injuries. Receiver operating characteristics (ROC) analysis was performed to examine the prognostic performance of the four different tools. Results: Of the 754 patients, 32 patients (4. 2%) died and 722 (95. 8%) survived after 24 hours of admission. The mean age of the patients was 38. 54 ± 18. 58 years (78. 9% male). The area under the ROC curves (AUC) of REMS, MEWS, ISS, and GCS score for predicting in-hospital mortality were 0. 942 (95% CI [0. 923-0. 958]), 0. 886 (95% CI [0. 861-0. 908]), 0. 866 (95% CI [0. 839-0. 889]), and 0. 851 (95% CI [0. 823-0. 876]), respectively. The AUC of REMS was significantly higher than GCS (p=0. 035). The sensitivities of GCS · 11, ISS ¸ 13, REMS ¸ 4, and MEWS ¸ 3 scores for in-hospital mortality were 0. 56, 0. 97, 0. 81, and 0. 94, respectively. Also, the specificities of GCS, ISS, REMS, and MEWS scores for in-hospital mortality were 0. 93, 0. 82, 0. 81, and 0. 85, respectively. Conclusion: It seems that REMS is more accurate than GCS, ISS, and MEWS in predicting in-hospital mortality ¸ 24 hours of Multiple trauma patients.

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APA: Copy

HEYDARI, FARHAD, AZIZKHANI, REZA, AHMADI, OMID, MAJIDINEJAD, SAEED, Nasr Esfahani, Mohammad, & AHMADI, AHMAD. (2021). Physiologic Scoring Systems versus Glasgow Coma Scale in Predicting In-Hospital Mortality of Trauma Patients; a Diagnostic Accuracy Study. ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY), 9(1), 0-0. SID. https://sid.ir/paper/978308/en

Vancouver: Copy

HEYDARI FARHAD, AZIZKHANI REZA, AHMADI OMID, MAJIDINEJAD SAEED, Nasr Esfahani Mohammad, AHMADI AHMAD. Physiologic Scoring Systems versus Glasgow Coma Scale in Predicting In-Hospital Mortality of Trauma Patients; a Diagnostic Accuracy Study. ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY)[Internet]. 2021;9(1):0-0. Available from: https://sid.ir/paper/978308/en

IEEE: Copy

FARHAD HEYDARI, REZA AZIZKHANI, OMID AHMADI, SAEED MAJIDINEJAD, Mohammad Nasr Esfahani, and AHMAD AHMADI, “Physiologic Scoring Systems versus Glasgow Coma Scale in Predicting In-Hospital Mortality of Trauma Patients; a Diagnostic Accuracy Study,” ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY), vol. 9, no. 1, pp. 0–0, 2021, [Online]. Available: https://sid.ir/paper/978308/en

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