ArticleBulletin of emergency and trauma2020
A Comparative Study of Injury Severity Scales as Predictors of Mortality in Trauma Patients: Which Scale Is the Best?
Article in Bulletin of emergency and trauma, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.
- Comprehensive meta-analysis of emergency trauma outcomes: trends, interventions, and survival rates.Frontiers in public health · 2025Pooled it
- The accuracy of the injury severity score in patients below the age of 18 years, a trauma registry data study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Predictive value of trauma scoring systems for mortality and intensive care outcomes among trauma patients: a study from central Iran.International journal of emergency medicine · 2026Article
- Evaluation of trauma-related mortality in Peshawar, Pakistan: a study at Khyber Teaching Hospital.Trauma surgery & acute care open · 2026Article
- Article
- Predictors of 30-Day Mortality in Trauma: A Single-Center Retrospective Exploratory Study.Life (Basel, Switzerland) · 2025Article
- Predicting mortality in adults hospitalized with multiple trauma: Can the BIG score estimate risk?Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2025Observational
- Article
- Geriatric Trauma Outcome Score for Predicting Mortality among Older Korean Adults with Trauma: Is It Applicable in All Cases?Annals of geriatric medicine and research · 2024Article
- Evaluation of stabbing assault injuries in a tertiary emergency department: a retrospective observational study.BMC emergency medicine · 2024Observational
- Comparing NEWS2, TRISS, and RTS in predicting mortality rate in trauma patients based on prehospital data set: a diagnostic study.BMC emergency medicine · 2024Article
- Evaluation of the predictive effects of trauma scoring systems in colorectal injuries.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Application of a feedforward control-based intervention for preventing hypothermia in trauma patients in a pre-hospital emergency setting.American journal of translational research · 2024Article
- Multifaceted Analysis of the Environmental Factors in Severely Injured Trauma: A 30-Day Survival Analysis.Healthcare (Basel, Switzerland) · 2023Article
- Predicting factors and incidence of preventable trauma induced mortality.Annals of medicine and surgery (2012) · 2021Article
- Analysis of Cases of Mild Head Trauma Resulting in Fatal Outcome from the Doctor Helicopter Registry Data.Journal of emergencies, trauma, and shockArticle
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo compare the injury severity scales as predictors of mortality in trauma patients to search for the best scale.
methodsIn a prospective cohort study and systematical random sampling conducted from March to September 2017, trauma patients over the age of 13 years were enrolled. The investigated variables were age, gender, systolic blood pressure, heart rate, respiratory rate, injured body region, Glasgow Coma Scale (GCS), injury severity score (ISS), revised trauma score (RTS), trauma injury severity score (TRISS) and the outcome.
resultsTotally, 1410 trauma patients were followed up, out of which 68.5% were male. The participants' mean age was 43.5±20.88 years. After adjusting the confounding effects, age over 60 years (OR=7.38, CI [3.91-13.93]), GCS<8 (OR=6.5, CI [2.38-18.16]), RTS<7.6 (OR=6.04, CI [2-13.7]), and TRISS<0.9 (OR=3.09, CI [1.39-6.88]) were determined as the most significant predictor variables for in-hospital mortality. The results of Receiver Operating Characteristic (ROC) curve revealed that TRISS had the highest area under the curve in comparison to other tests that were evaluated. Furthermore, TRISS had the highest sensitivity and specificity for scores higher than 96.15. By contrast, the sensitivity and specificity of GCS decreased for scores higher than 5.5.
conclusionOur results showed that TRISS, RTS, GCS, and ISS were all very effective approaches for evaluating prognosis, mortality and probable complications in trauma patients; thus, these systems of injury evaluation and scoring are recommended to facilitate treatment. TRISS, RTS, and ISS had almost the same sensitivity that was higher than GCS, but GCS had the most specificity. Finally, TRISS was selected as the most efficient scale for predicting mortality.
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