ArticleJournal of clinical and diagnostic research : JCDR2015
Evaluation of Probability of Survival using APACHE II & TRISS Method in Orthopaedic Polytrauma Patients in a Tertiary Care Centre.
Article in Journal of clinical and diagnostic research : JCDR, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Review
- Polytrauma scoring revisited: prognostic validity and usability in daily clinical practice.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Predicting mortality in trauma patients - A retrospective comparison of the performance of six scoring systems applied to polytrauma patients from the emergency centre of a South African central hospital.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2021Article
- Applicability of Anatomic and Physiologic Scoring Systems for the Prediction of Outcome in Polytraumatized Patients with Blunt Aortic Injuries.Diagnostics (Basel, Switzerland) · 2021Article
- Risk factors for death of trauma patients admitted to an Intensive Care Unit.Revista latino-americana de enfermagem · 2020Article
- Have Severity Scores a Place in Predicting Septic Complications in ICU Multiple Trauma Patients?Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures) · 2016Article
- Can APACHE II, SOFA, ISS, and RTS Severity Scores be used to Predict Septic Complications in Multiple Trauma Patients?Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures) · 2016Article
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimThe aim of the study was to assess the ability of Acute Physiology and Chronic Health Evaluation (APACHE) II scoring system and Trauma and Injury Severity Score (TRISS) method to evaluate chances of survival of orthopaedic polytrauma patients. MATERIALS AND
methodsIt is a retrospective study carried out at a tertiary care teaching hospital situated in a hilly terrain. The medical records of 535 polytrauma patients admitted to ICU from January 2012 to April 2015 were examined of which only 95 were included into the study. The APACHE II scores were calculated from data at the time of admission, on day 1 after admission and on day 5. Data from casualty department was used to calculate TRISS. For each patient APACHE II and TRISS was used to calculate their probability of death. Receiver operating characteristic curve analysis was used to assess the ability of APACHE II and TRISS to predict mortality.
resultsIn the receiver operating characteristic curve analysis, the areas under the curve for TRISS, APACHE II on admission and APACHE II on day one of admission scoring system was 0.831, 0.706, 0.885 respectively. Sensitivity and specificity for TRISS was 83.64 and 77.50 respectively while for APACHE II score on day one of admission was 90.91 and 72.50.
conclusionThe results from the present study showed that APACHE II score on day one of admission was relatively a better predictor than TRISS score and a far better predictor than APACHE II on admission in evaluating probability of survival of a patient.
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