ArticleMedicine2017
The thorax trauma severity score and the trauma and injury severity score: Do they predict in-hospital mortality in patients with severe thoracic trauma?: A retrospective cohort study.
Article in Medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 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
- Improving Blunt Thoracic Trauma Prognosis: Validation of the Study of the Management of Blunt Chest Wall Trauma Score against Injury Severity Score in an Indonesian Tertiary Hospital.Journal of chest surgery · 2026Article
- Anesthetic Management of One-Lung Ventilation in Thoracic Trauma: A Retrospective Observational Cohort Study.Cureus · 2026Article
- 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
- Utility of the Thoracic Trauma Severity Score in Predicting Outcomes in Isolated Thoracic Injuries:Sultan Qaboos University medical journal · 2026Observational
- Predictors of 30-Day Mortality in Trauma: A Single-Center Retrospective Exploratory Study.Life (Basel, Switzerland) · 2025Article
- Comparison of the Thoracic Trauma Severity Score (TTSS) and Trauma and Injury Severity Score (TRISS) in predicting clinical outcomes in chest trauma patients: protocol for a prospective cohort study from Iraq.International journal of surgery protocols · 2025Article
- Comparison of Injury Severity Score (ISS) and New Injury Severity Score (NISS) in the Evaluation of Thoracic Trauma Patients: A Retrospective Cohort Study.Emergency medicine international · 2024Article
- C-reactive Protein/Albumin Ratio as a Prognostic Indicator in Posttraumatic Shock and Outcome of Multiple Trauma Patients.Current medical science · 2023Article
- Thorax trauma severity score in patient with chest trauma: study at tertiary-level hospital.Indian journal of thoracic and cardiovascular surgery · 2022Article
- The role of the perfusion index in patients with thoracic trauma.World journal of emergency medicine · 2022Article
- 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
- Impact of a care bundle for patients with blunt chest injury (ChIP): A multicentre controlled implementation evaluation.PloS one · 2021Observational
- Comparing the Clinical Features and Trauma Scores of Trauma Patients Aged Under 65 Years with Those of Patients Aged over 65 Years in the Intensive Care Unit: A Retrospective Study for Last Ten Years.The Eurasian journal of medicine · 2020Article
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Several scoring systems are commonly used to evaluate severity in patients with traumatic injuries. However, there is no generally accepted standard scoring system to assess the severity of thoracic trauma, specifically in patients who have sustained severe injuries. The present study aimed to evaluate the validity of the trauma and injury severity score (TRISS) and the thorax trauma severity score (TTSS) as predictors of in-hospital mortality in patients with severe thoracic trauma.We conducted a retrospective, consecutive review of the medical records of patients with severe thoracic trauma who were managed at our institution between January 2005 and December 2015. Inclusion criteria were patients with severe thoracic injury (injury severity score > 18) who required intensive care therapy and who had no local or systemic infection. We analyzed the association between the trauma severity scores (TTSS and TRISS) and in-hospital mortality in these patients. We also determined the predictive value of the scores using receiver-operating characteristic (ROC) curves.A total of 228 patients with severe thoracic trauma were included in this study. The in-hospital mortality rate was 21.9%. There was a statistically significant association between the TRISS and in-hospital mortality (P < .001), but the association between the TTSS and in-hospital mortality was not statistically significant (P = .547). The ROC curve demonstrated adequate discrimination, as demonstrated by an area under the curve value of 0.787 for the TRISS. At a cut-off value of 25.9%, the TRISS had a sensitivity of 83.6% and specificity of 73.5% to predict in-hospital mortality.The present study demonstrated that the TRISS, but not the TTSS, can be used to predict in-hospital mortality in patients with severe thoracic trauma; hence, additional prospective studies are required.
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