Revised Trauma Score and CRAMS better predicted mortality in high-energy-trauma patients than Early-Warning Score

Autor: Sadiye Yolcu, Kemal Sener, Hatice Tapsiz, Ali Ilker Ozer, Akkan Avci
Rok vydání: 2022
Předmět:
Zdroj: Irish Journal of Medical Science (1971 -).
ISSN: 1863-4362
0021-1265
DOI: 10.1007/s11845-022-03208-2
Popis: Trauma is one of the common reasons for emergency department (ED) presentations. Specifically, severe-trauma patients often present with mortal complications, including traumatic shock or respiratory or multiorgan failure/dysfunction, and these situations cause high-mortality risk. Scoring systems in the triage of trauma patients can help determine the injury's severity and the patient's prognosis.In this study, we aimed to compare Early-Warning Score (EWS), Revised Trauma Score (RTS), and CRAMS to predict the severity and prognosis of damage among high-energy-trauma patients.This retrospective study included adult high-energy-trauma patients ( 18 years of age) assessed in our emergency department (ED) from April 1, 2020, to September 31, 2020. We included a total of 177 high-energy-trauma patients in the study. We compared the effectiveness of EWS; RTS; and circulation, respiration, abdomen, motor, and speech (CRAMS) in predicting mortality. The primary outcome of this study was mortality.We included 67 females and 110 males with a mean age of 39.2 in our study. Of those patients, 6 died during ICU hospitalization and 104 were discharged from the ward. RTS (AUC: 0.978, CI: 0.945-0.994, p 0.001) and CRAMS (AUC: 0.978, CI: 0.944-0.994, p 0.001) had the same AUC values, but the AUC value of EWS (AUC: 0.966, CI: 0.927-0.987, p 0.001) was lower. Sensitivity of EWS was 93.1 (CI: 77.2-99.2%), and sensitivity of RTS was 96.55 (CI: 82.2-99.9) and CRAMS' sensivity was 96.55% (CI: 82.2-99.9). RTS showed the highest specivity level (96.62%, CI: 92.3-98.9).In conclusion, RTS and CRAMS better predicted mortality in high-energy-trauma patients than EWS.
Databáze: OpenAIRE
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