ArticleHealthcare (Basel, Switzerland)2022
Clinical Prediction Scoring Scheme for 24 h Mortality in Major Traumatic Adult Patients.
Article in Healthcare (Basel, Switzerland), 2022. 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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Who cites it
7 citing papers in PubMed.
- Time-series-based forecasting of accident-related referrals to Maharaj Nakorn Chiang Mai Hospital, Northern Thailand, during each year and especially the "Seven dangerous Days" periods.BMC public health · 2026Article
- Clinical Predictors and Resuscitative Care Indicators of Early Mortality Among Adult Major Trauma Patients Transported by Emergency Medical Services in Thailand.Journal of multidisciplinary healthcare · 2026Article
- Comparison of Trauma Scoring Systems for Predicting Mortality in Emergency Department Patients with Traffic-Related Multiple Trauma.Diagnostics (Basel, Switzerland) · 2025Article
- Trauma referral audit impact assessment on the outcomes of injured patients via an interrupted time-series analysis: an 11-year before-and-after study of trauma cases at the Maharaj Nakorn Chiang Mai hospital, Thailand.BMC emergency medicine · 2025Article
- TERMINAL-24 Score in Predicting Early and In-hospital Mortality of Trauma Patients; a Cross-sectional.Archives of academic emergency medicine · 2025Article
- Exploration of potential biomarkers and therapeutic targets for trauma-related acute kidney injury.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2024Review
- Mortality Risk Factors of Severely Injured Polytrauma Patients (Prehospital Mortality Prediction Score).Journal of clinical medicine · 2023Article
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Authors and funding
6 authors.
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No grant is acknowledged in the PubMed record.
Abstract
A death rate of approximately 32.7 in 100,000 traffic injury victims was reported in Thailand. The prediction of early death would identify and enable prioritization of the most severe patients for resuscitation and consequently reduce the number of deaths. This study aimed to develop a clinical prediction scoring system for 24 h mortality in adult major trauma patients. Retrospective-prognostic clinical prediction was applied in the case of 3173 adult trauma patients who were classified into three groups: death within 8 h, death between 8 and 24 h, and alive at 24 h. The predictors were obtained by univariable and multivariable logistic regression, and the coefficient of parameters was converted to predict early death. The numbers of patients who died within 8 h and between 8 and 24 h were 46 (1.5%) and 123 (3.8%), respectively. The predictors included systolic blood pressure <90 mmHg, heart rate ≥120 bpm, Glasgow coma scale ≤8, traffic injury, and assault injury. The scores of 4 indicated a mortality rate of 12% with a high specificity of 0.89. The suggested TERMINAL-24 scoring system can be used for the prediction of early death in the Emergency Department. However, its discrimination ability and precision should be validated before practical use.
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