ArticleOpen access emergency medicine : OAEM2011
Validation of the Thorax Trauma Severity Score for mortality and its value for the development of acute respiratory distress syndrome.
Article in Open access emergency medicine : OAEM, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06744959 (Reliability of Thoracic Trauma Severity Scores in Predicting Outcomes Among Chest Trauma Patients in Low-Resource Settings), which is not on this map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Reliability of Thoracic Trauma Severity Scores in Predicting Outcomes Among Chest Trauma Patients in Low-Resource Settings: A Prospective Cohort Study From Iraq
Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Clinical prediction models for the management of blunt chest trauma in the emergency department: a systematic review.BMC emergency medicine · 2024Pooled it
- An interpretable early intensive care unit model for predicting in-hospital mortality in trauma patients combined with rib fractures: development and external validation.Journal of thoracic disease · 2026Article
- Surgical and perioperative management of flail chest with titanium plates: a French cohort series from a thoracic referral center.Journal of cardiothoracic surgery · 2023Observational
- Thorax trauma severity score in patient with chest trauma: study at tertiary-level hospital.Indian journal of thoracic and cardiovascular surgery · 2022Article
- The ROX index as a predictor of standard oxygen therapy outcomes in thoracic trauma.Scandinavian journal of trauma, resuscitation and emergency medicine · 2021Article
- Rib fixation versus non-operative treatment for flail chest and multiple rib fractures after blunt thoracic trauma: a multicenter cohort study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2019Article
- Article
- Risk Factors for Pneumonia in Ventilated Trauma Patients with Multiple Rib Fractures.The Korean journal of thoracic and cardiovascular surgery · 2017Article
- The number of displaced rib fractures is more predictive for complications in chest trauma patients.Scandinavian journal of trauma, resuscitation and emergency medicine · 2017Article
- Thorax Trauma Severity Score: Is it reliable for Patient's Evaluation in a Secondary Level Hospital?Bulletin of emergency and trauma · 2016Article
- Clinical Presentation and Time-Based Mortality in Patients With Chest Injuries Associated With Road Traffic Accidents.Archives of trauma research · 2016Article
- Effect of analgesia on the changes in respiratory parameters in blunt chest injury with multiple rib fractures.Annals of African medicineArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe aim of the present study was to evaluate and to validate the Thorax Trauma Severity Score (TTSS) for mortality.
methodsBy database analysis 712 patients with an injury to the chest admitted to the Universal Medical Center Utrecht between 2000 and 2004 were studied. All patients with a score of ≥1 on the AISthorax were included in the study. The patients' file was evaluated for: TTSS, intensive care unit stay, days on ventilation, thorax trauma-related complications (eg, acute respiratory distress syndrome [ARDS]), total hospital stay, and mortality.
resultsOf the 516 patients included in the study, 140 (27%) developed thorax-related complications. The overall in-hospital mortality rate was 10%. The receiver operating characteristic curve for predicting mortality demonstrated an adequate discrimination by a value of 0.844. The TTSS was statistically significant higher in patients who died of thorax-related complications than in patients who died because of nonthorax-related complications and survivors (P < 0.001, confidence interval [CI] 95%). In patients who developed ARDS the TTSS was significant higher (P = 0.005, CI 95%).
conclusionThis study supports the use of the TTSS for predicting mortality in thoracic injury patients. Furthermore, the TTSS appears capable of predicting ARDS.
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