Development of a novel scoring tool to predict the need for early cricothyroidotomy in trauma patients
Background: The lack of a widely-used tool for predicting early cricothyroidotomy in trauma patients prompted us to develop the Cricothyroidotomy After Trauma (CAT) score. We aimed to predict the need for cricothyroidotomy within one hour of trauma patient arrival. Methods: Derivation and validation...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-12-01
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| Series: | Surgery Open Science |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2589845023000799 |
| _version_ | 1797398570946527232 |
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| author | Mary Londoño, BS Jeffry Nahmias, MD, MHPE Matthew Dolich, MD Michael Lekawa, MD Allen Kong, MD Sebastian Schubl, MD, FACS Kenji Inaba, MD Areg Grigorian, MD |
| author_facet | Mary Londoño, BS Jeffry Nahmias, MD, MHPE Matthew Dolich, MD Michael Lekawa, MD Allen Kong, MD Sebastian Schubl, MD, FACS Kenji Inaba, MD Areg Grigorian, MD |
| author_sort | Mary Londoño, BS |
| collection | DOAJ |
| description | Background: The lack of a widely-used tool for predicting early cricothyroidotomy in trauma patients prompted us to develop the Cricothyroidotomy After Trauma (CAT) score. We aimed to predict the need for cricothyroidotomy within one hour of trauma patient arrival. Methods: Derivation and validation datasets were obtained from the Trauma Quality Improvement Program (TQIP) database. Logistic modeling identified predictors, and weighted averages were used to create the CAT score. The score's performance was assessed using AUROC. Results: Among 1,373,823 derivation patients, <1 % (n = 339) underwent cricothyroidotomy within one hour. The CAT score, comprising nine predictors, achieved an AUROC of 0.88. Severe neck injury and gunshot wound were the strongest predictors. Cricothyroidotomy rates increased from 0.4 % to 9.3 % at scores of 5 and 8, respectively. In the validation set, the CAT tool yielded an AUROC of 0.9. Conclusion: The CAT score is a validated tool for predicting the need for early cricothyroidotomy in trauma patients. Further research is necessary to enhance its utility and assess its value in trauma care. |
| first_indexed | 2024-03-09T01:27:24Z |
| format | Article |
| id | doaj.art-7dd6b17dff3a408183f9edb238fd4945 |
| institution | Directory Open Access Journal |
| issn | 2589-8450 |
| language | English |
| last_indexed | 2024-03-09T01:27:24Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Surgery Open Science |
| spelling | doaj.art-7dd6b17dff3a408183f9edb238fd49452023-12-10T06:17:04ZengElsevierSurgery Open Science2589-84502023-12-01165863Development of a novel scoring tool to predict the need for early cricothyroidotomy in trauma patientsMary Londoño, BS0Jeffry Nahmias, MD, MHPE1Matthew Dolich, MD2Michael Lekawa, MD3Allen Kong, MD4Sebastian Schubl, MD, FACS5Kenji Inaba, MD6Areg Grigorian, MD7University of California, Irvine, Department of Surgery, Division of Trauma, Burns and Surgical Critical Care, Orange, CA, USAUniversity of California, Irvine, Department of Surgery, Division of Trauma, Burns and Surgical Critical Care, Orange, CA, USAUniversity of California, Irvine, Department of Surgery, Division of Trauma, Burns and Surgical Critical Care, Orange, CA, USAUniversity of California, Irvine, Department of Surgery, Division of Trauma, Burns and Surgical Critical Care, Orange, CA, USAUniversity of California, Irvine, Department of Surgery, Division of Trauma, Burns and Surgical Critical Care, Orange, CA, USAUniversity of California, Irvine, Department of Surgery, Division of Trauma, Burns and Surgical Critical Care, Orange, CA, USAUniversity of Southern California, Department of Surgery, Los Angeles, CA, USAUniversity of California, Irvine, Department of Surgery, Division of Trauma, Burns and Surgical Critical Care, Orange, CA, USA; Corresponding author at: Division of Trauma, Burns and Surgical Critical Care, Department of Surgery, University of California, Irvine Medical Center, 333 The City Blvd West, Suite 1600, Orange, CA 92868-3298, USA.Background: The lack of a widely-used tool for predicting early cricothyroidotomy in trauma patients prompted us to develop the Cricothyroidotomy After Trauma (CAT) score. We aimed to predict the need for cricothyroidotomy within one hour of trauma patient arrival. Methods: Derivation and validation datasets were obtained from the Trauma Quality Improvement Program (TQIP) database. Logistic modeling identified predictors, and weighted averages were used to create the CAT score. The score's performance was assessed using AUROC. Results: Among 1,373,823 derivation patients, <1 % (n = 339) underwent cricothyroidotomy within one hour. The CAT score, comprising nine predictors, achieved an AUROC of 0.88. Severe neck injury and gunshot wound were the strongest predictors. Cricothyroidotomy rates increased from 0.4 % to 9.3 % at scores of 5 and 8, respectively. In the validation set, the CAT tool yielded an AUROC of 0.9. Conclusion: The CAT score is a validated tool for predicting the need for early cricothyroidotomy in trauma patients. Further research is necessary to enhance its utility and assess its value in trauma care.http://www.sciencedirect.com/science/article/pii/S2589845023000799CricothyroidotomyTraumaScoring toolSevere neck injuryGunshot wound |
| spellingShingle | Mary Londoño, BS Jeffry Nahmias, MD, MHPE Matthew Dolich, MD Michael Lekawa, MD Allen Kong, MD Sebastian Schubl, MD, FACS Kenji Inaba, MD Areg Grigorian, MD Development of a novel scoring tool to predict the need for early cricothyroidotomy in trauma patients Surgery Open Science Cricothyroidotomy Trauma Scoring tool Severe neck injury Gunshot wound |
| title | Development of a novel scoring tool to predict the need for early cricothyroidotomy in trauma patients |
| title_full | Development of a novel scoring tool to predict the need for early cricothyroidotomy in trauma patients |
| title_fullStr | Development of a novel scoring tool to predict the need for early cricothyroidotomy in trauma patients |
| title_full_unstemmed | Development of a novel scoring tool to predict the need for early cricothyroidotomy in trauma patients |
| title_short | Development of a novel scoring tool to predict the need for early cricothyroidotomy in trauma patients |
| title_sort | development of a novel scoring tool to predict the need for early cricothyroidotomy in trauma patients |
| topic | Cricothyroidotomy Trauma Scoring tool Severe neck injury Gunshot wound |
| url | http://www.sciencedirect.com/science/article/pii/S2589845023000799 |
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