Acute Physiology and Chronic Health Evaluation (APACHE) III Score Compared to Trauma-Injury Severity Score (TRISS) in Predicting Mortality of Trauma Patients
<strong>Introduction:</strong> More than 50 scoring systems have been published for classification of trauma patients in the field, emergency room, and intensive care settings, so far. The present study aimed to compare the ability of trauma injury severity score (TRISS) and acute physio...
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| Format: | Article |
| Language: | English |
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Shahid Beheshti University of Medical Sciences
2016-04-01
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| Series: | Emergency |
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| Online Access: | http://journals.sbmu.ac.ir/emergency/article/view/8635 |
| _version_ | 1818302452858880000 |
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| author | Parvin Darbandsar Mazandarani Kamran Heydari Hamidreza Hatamabadi Parvin Kashani Yasin Jamali Danesh |
| author_facet | Parvin Darbandsar Mazandarani Kamran Heydari Hamidreza Hatamabadi Parvin Kashani Yasin Jamali Danesh |
| author_sort | Parvin Darbandsar Mazandarani |
| collection | DOAJ |
| description | <strong>Introduction:</strong> More than 50 scoring systems have been published for classification of trauma patients in the field, emergency room, and intensive care settings, so far. The present study aimed to compare the ability of trauma injury severity score (TRISS) and acute physiology and chronic health evaluation (APACHE) III in predicting mortality of intensive care unit (ICU) admitted trauma patients. <strong>Methods:</strong> This prospective cross-sectional study included ICU admitted multiple trauma patients of Imam Hossein and Hafte-Tir Hospitals, Tehran, Iran, during 2011 and 2012. Demographic data, vital signs, mechanism of injury and required variables for calculating APACHE III score and TRISS were recorded. The accuracy of the two models in predicting mortality of trauma patients was compared using area under the ROC curve. <strong>Results:</strong> 152 multiple trauma patients with mean age of 37.09 ± 14.60 years were studied (78.94% male). 48 (31.57%) cases died. For both APACHE III and TRISS, predicted death rates significantly correlated with observed death rates (p < 0.0001). The mean age of dead patients was 37.21 ± 14.07 years compared to 37.03±14.96 years for those who survived (p = 0.4). The area under ROC curve was 0.806 (95% CI: 0.663-0.908) for TRISS and 0.797 (95% CI: 0.652-0.901) for APACHE III (p = 0.2). <strong>Conclusion:</strong> Based on the results of this study, both TRISS and APACHE models have the same accuracy in predicting mortality of ICU admitted trauma patients. Therefore, it seems that TRISS model would be more applicable in this regard because of its easier calculation, consideration of trauma characteristics, and independency of patient care quality. |
| first_indexed | 2024-12-13T05:39:08Z |
| format | Article |
| id | doaj.art-a67060463bbf4f14b4de7c43dfeb0f0e |
| institution | Directory Open Access Journal |
| issn | 2345-4563 2345-4571 |
| language | English |
| last_indexed | 2024-12-13T05:39:08Z |
| publishDate | 2016-04-01 |
| publisher | Shahid Beheshti University of Medical Sciences |
| record_format | Article |
| series | Emergency |
| spelling | doaj.art-a67060463bbf4f14b4de7c43dfeb0f0e2022-12-21T23:57:51ZengShahid Beheshti University of Medical SciencesEmergency2345-45632345-45712016-04-014288915394Acute Physiology and Chronic Health Evaluation (APACHE) III Score Compared to Trauma-Injury Severity Score (TRISS) in Predicting Mortality of Trauma PatientsParvin Darbandsar Mazandarani0Kamran Heydari1Hamidreza Hatamabadi2Parvin Kashani3Yasin Jamali Danesh4Emergency Department, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, IranEmergency Department, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, IranEmergency Department, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Safety Promotion and Injury Prevention Research Center, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.Emergency Department, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, IranEmergency Department, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.<strong>Introduction:</strong> More than 50 scoring systems have been published for classification of trauma patients in the field, emergency room, and intensive care settings, so far. The present study aimed to compare the ability of trauma injury severity score (TRISS) and acute physiology and chronic health evaluation (APACHE) III in predicting mortality of intensive care unit (ICU) admitted trauma patients. <strong>Methods:</strong> This prospective cross-sectional study included ICU admitted multiple trauma patients of Imam Hossein and Hafte-Tir Hospitals, Tehran, Iran, during 2011 and 2012. Demographic data, vital signs, mechanism of injury and required variables for calculating APACHE III score and TRISS were recorded. The accuracy of the two models in predicting mortality of trauma patients was compared using area under the ROC curve. <strong>Results:</strong> 152 multiple trauma patients with mean age of 37.09 ± 14.60 years were studied (78.94% male). 48 (31.57%) cases died. For both APACHE III and TRISS, predicted death rates significantly correlated with observed death rates (p < 0.0001). The mean age of dead patients was 37.21 ± 14.07 years compared to 37.03±14.96 years for those who survived (p = 0.4). The area under ROC curve was 0.806 (95% CI: 0.663-0.908) for TRISS and 0.797 (95% CI: 0.652-0.901) for APACHE III (p = 0.2). <strong>Conclusion:</strong> Based on the results of this study, both TRISS and APACHE models have the same accuracy in predicting mortality of ICU admitted trauma patients. Therefore, it seems that TRISS model would be more applicable in this regard because of its easier calculation, consideration of trauma characteristics, and independency of patient care quality.http://journals.sbmu.ac.ir/emergency/article/view/8635Trauma severity indicesAPACHEinjury severity scoremultiple trauma |
| spellingShingle | Parvin Darbandsar Mazandarani Kamran Heydari Hamidreza Hatamabadi Parvin Kashani Yasin Jamali Danesh Acute Physiology and Chronic Health Evaluation (APACHE) III Score Compared to Trauma-Injury Severity Score (TRISS) in Predicting Mortality of Trauma Patients Emergency Trauma severity indices APACHE injury severity score multiple trauma |
| title | Acute Physiology and Chronic Health Evaluation (APACHE) III Score Compared to Trauma-Injury Severity Score (TRISS) in Predicting Mortality of Trauma Patients |
| title_full | Acute Physiology and Chronic Health Evaluation (APACHE) III Score Compared to Trauma-Injury Severity Score (TRISS) in Predicting Mortality of Trauma Patients |
| title_fullStr | Acute Physiology and Chronic Health Evaluation (APACHE) III Score Compared to Trauma-Injury Severity Score (TRISS) in Predicting Mortality of Trauma Patients |
| title_full_unstemmed | Acute Physiology and Chronic Health Evaluation (APACHE) III Score Compared to Trauma-Injury Severity Score (TRISS) in Predicting Mortality of Trauma Patients |
| title_short | Acute Physiology and Chronic Health Evaluation (APACHE) III Score Compared to Trauma-Injury Severity Score (TRISS) in Predicting Mortality of Trauma Patients |
| title_sort | acute physiology and chronic health evaluation apache iii score compared to trauma injury severity score triss in predicting mortality of trauma patients |
| topic | Trauma severity indices APACHE injury severity score multiple trauma |
| url | http://journals.sbmu.ac.ir/emergency/article/view/8635 |
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