Analysis of Grade Classification for Prehospital Injury Severity Scores Applied in Shonan-area Medical Control Council

Autor: Shinjiro, Wakai, Takeshi, Yamagiwa, Tomoatsu, Tsuji, Seiji, Morita, Yoshihide, Nakagawa
Rok vydání: 2021
Předmět:
Zdroj: The Tokai journal of experimental and clinical medicine. 47(1)
ISSN: 2185-2243
Popis: To clarify the usefulness of grade classification for injury severity scores applied in Shonan-area Medical Control Council.The participants included 11,668 injury cases that occurred in this jurisdiction from April to September 2016. Multivariate analysis was performed using "severity at the time of the disease" a s the response variable. The AUC-ROC was also compared with and without Grade classification, and potential improvements in discrimination ability were examined.There were 11,271 subjects in the "mild/moderate" group and 397 subjects in the "severe/dead" group. Almost all explanatory variables were significant and independent risk factors in the multivariate analysis, and the "LoadGo adaptation" had a particularly high odds ratio of 20.2. Discrimination ability improved (AUC-ROC: 0.773 VS. 0.787) when Grade classification was added to the conventional pre-hospitalization evaluation items.LoadGo adaptation has a great influence on severity, and discrimination ability is improved through Grade classification.
Databáze: OpenAIRE