Comparison of trauma scores for adults who fell from height as survival predictivity
Turkish Journal of Medical Sciences, cilt.39, sa.2, ss.247-252, 2009 (SCI-Expanded, Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 39 Sayı: 2
- Basım Tarihi: 2009
- Doi Numarası: 10.3906/sag-0804-18
- Dergi Adı: Turkish Journal of Medical Sciences
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.247-252
- Anahtar Kelimeler: Trauma Scores, Fall from a height, Mortality
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Aim: Falls from a height and their subsequent injuries and traumas can cause morbidity and death. 1n the present study, 1SS, N1SS, RTS, and TR1SS values were analyzed to assess mortality probabilities of patients who fell from a height. Materials and Methods: Patients' age, gender, height of falls (0-2 m, 3-5 m, and 6 m and above), organ pathologies, and 1SS, N1SS, RTS, and TR1SS scores were evaluated in terms of mortality. Results: Regarding the survival rate, no statistically significant difference was found between age and gender (P > 0.05). We determined that all trauma scores were correlated with mortality, and that as Injury Severity Score (1SS), New 1njury Severity Score (N1SS), and Trauma and 1njury Severity Score (TR1SS) values increased, and as Revised Trauma Score (RTS) values decreased, the mortality rate tended to increase. The area under the curve in the Receiver Operating Characteristic (ROC) analysis was 0.991 for TR1SS, 0.910 for 1SS, and 0.915 for N1SS (P > 0.001). The most satisfactory cut-off point for TR1SS was 73.5 and at that point, we found the best sensitivity, specificity, and positive and negative predictive values. Conclusions: 1n conclusion, the data showed that TR1SS values can be used with high reliability when this value is over 73.5 and any score above it has high specificity and mortality. © tübi̇tak.