Evidence map›Paper›PMID 28286838›Full record

ArticleEmergency (Tehran, Iran)2017

Worthing Physiological Score vs Revised Trauma Score in Outcome Prediction of Trauma patients; a Comparative Study.

Babak Nakhjavan-Shahraki, Mahmoud Yousefifard, Mohammad Javad Hajighanbari, Parviz Karimi, Masoud Baikpour, Jalaledin Mirzay Razaz, Mehdi Yaseri, Kavous Shahsavari, Fatemeh Mahdizadeh, Mostafa Hosseini

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Article in Emergency (Tehran, Iran), 2017. 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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0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Babak Nakhjavan-ShahrakiSina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Mahmoud YousefifardPhysiology Research Center and Department of Physiology, Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Mohammad Javad HajighanbariDepartment of Emergency Medicine, Hafte Tir Hospital, Iran University of Medical Sciences, Tehran, Iran.
Parviz KarimiDepartment of Emergency Medicine, Robatkarim Hospital, Iran University of Medical Sciences, Tehran, Iran.
Masoud BaikpourDepartment of Medicine, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Jalaledin Mirzay RazazDepartment of Community Nutrition, Faculty of Nutrition and Food Technology, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Mehdi YaseriDepartment of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Kavous ShahsavariRoad Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Fatemeh MahdizadehDepartment of Emergency Medicine, Ilan University of Medical Sciences, Ilam, Iran.
Mostafa HosseiniDepartment of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAwareness about the outcome of trauma patients in the emergency department (ED) has become a topic of interest. Accordingly, the present study aimed to compare the rapid trauma score (RTS) and worthing physiological scoring system (WPSS) in predicting in-hospital mortality and poor outcome of trauma patients.

methodsIn this comparative study trauma patients brought to five EDs in different cities of Iran during the year 2016 were included. After data collection, discriminatory power and calibration of the models were assessed and compared using STATA 11.

results2148 patients with the mean age of 39.50±17.27 years were included (75.56% males). The AUC of RTS and WPSS models for prediction of mortality were 0.86 (95% CI: 0.82-0.90) and 0.91 (95% CI: 0.87-0.94), respectively (p=0.006). RTS had a sensitivity of 71.54 (95% CI: 62.59-79.13) and a specificity of 97.38 (95% CI: 96.56-98.01) in prediction of mortality. These measures for the WPSS were 87.80 (95% CI: 80.38-92.78) and 83.45 (95% CI: 81.75-85.04), respectively. The AUC of RTS and WPSS in predicting poor outcome were 0.81 (95% CI: 0.77-0.85) and 0.89 (95% CI: 0.85-0.92), respectively (p<0.0001).

conclusionThe findings showed a higher prognostic value for the WPSS model in predicting mortality and severe disabilities in trauma patients compared to the RTS model. Both models had good overall performance in prediction of mortality and poor outcome.

Indexed as

decision support techniquesemergency departmentPrognosisTraumaTrauma Severity Indices

Identifiers

PMID28286838
PMCPMC5325901

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