Evidence map›Paper›PMID 34759632›Full record

ArticleJournal of emergencies, trauma, and shock

Beyond Mortality: Does Trauma-related Injury Severity Score Predict Complications or Lengths of Stay Using a Large Administrative Dataset.

Nakosi Stewart, James G MacConchie, Roberto Castillo, Peter G Thomas, James Cipolla, Stanislaw P Stawicki

Open access · goldAbstract read
In one paragraph

Article in Journal of emergencies, trauma, and shock. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 33% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Nakosi StewartDepartment of Acute Care Surgical Services, St. Luke's University Hospital, Bethlehem, PA, USA.
James G MacConchieDepartment of Acute Care Surgical Services, St. Luke's University Hospital, Bethlehem, PA, USA.
Roberto CastilloDepartment of Acute Care Surgical Services, St. Luke's University Hospital, Bethlehem, PA, USA.
Peter G ThomasDepartment of Acute Care Surgical Services, St. Luke's University Hospital, Bethlehem, PA, USA.
James CipollaDepartment of Acute Care Surgical Services, St. Luke's University Hospital, Bethlehem, PA, USA.
Stanislaw P StawickiDepartment of Acute Care Surgical Services, St. Luke's University Hospital, Bethlehem, PA, USA.
St. Luke's University Health Network · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDespite its shortcomings, trauma-related injury severity score (TRISS) correlates well with mortality in large trauma datasets. The aim of this study was to determine if TRISS correlates with morbidity and hospital lengths of stay using data from an institutional registry at a Level I Trauma Center. We hypothesized that higher TRISS correlates with increased complications and longer hospital stays.

methodsA retrospective review of our institutional registry was performed, examining all trauma admissions between January 1999 and June 30, 2015. Out of a total of 32,026 patient records, TRISS data were available in 23,205 cases. Abstracted data included patient age, gender, ISS, TRISS, presence of complication, Glasgow Coma Scale (GCS), hospital length of stay, intensive care unit LOS, step-down unit LOS, functional independence measure, and 30-day mortality.

resultsTRISS was highly predictive of mortality, with the AUC value of 0.95 (95% confidence interval 0.936-0.954,

conclusionsDespite previous criticisms, we found that TRISS is superior to ISS for mortality and morbidity prediction. TRISS correlated significantly with a hospital, step down, and ICU lengths of stay using a large administrative dataset.

Indexed as

Injury severity scoretrauma length of staytrauma-related injury severity scoretrauma risk stratification

Identifiers

PMID34759632
PMCPMC8527059
OpenAlexW3204052550

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.