Triage Revised Trauma Score change between first assessment and arrival at the hospital to predict mortality

Autor: Chr. van der Werken, A. T. E. Spijkers, R. A. Lichtveld, Ivo F. Panhuizen, J. M. Hoogendoorn
Jazyk: angličtina
Rok vydání: 2008
Předmět:
Zdroj: International Journal of Emergency Medicine
ISSN: 1865-1380
1865-1372
Popis: Objective To assess among seriously injured accident victims whether change of the Triage Revised Trauma Score (T-RTS) between first assessment and arrival at the hospital independently predicts mortality. Design Prospective cohort study. Methods The study analysed data on 507 trauma patients with multiple injuries and with a Hospital Trauma Index-Injury Severity Score (HTI–ISS) of 16 or higher, who were presented directly by ambulance services to the Accident & Emergency Department of the University Medical Centre Utrecht (the Netherlands) in 1999 and 2000. Results Compared to non-intubated patients whose T-RTS remained unchanged (reference category), the mortality risk was 3.1 times higher [95% confidence interval (CI): 1.5–6.3, p=0.001] for patients with deteriorating T-RTS, 2.9 times higher (95% CI: 1.3–6.5, p
Databáze: OpenAIRE