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 |
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Jazyk: | angličtina |
Rok vydání: | 2008 |
Předmět: |
Pediatrics
medicine.medical_specialty Triage Revised Trauma Score (T-RTS) Poison control Hospital Trauma Index-Injury Severity Score (HTI-ISS) behavioral disciplines and activities Prehospital care Ambulance care Injury prevention medicine Mortality Prospective cohort study business.industry EMS Emergency department Seriously injured accident victims Revised Trauma Score Triage Confidence interval Trauma patients with multiple injuries Predictors of mortality after hospitalisation Deteriorating T-RTS Emergency medicine Emergency Medicine Injury Severity Score Original Article business |
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 |
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