ArticleCritical care (London, England)2022
Early identification of bleeding in trauma patients: external validation of traumatic bleeding scores in the Swiss Trauma Registry.
Article in Critical care (London, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04561050 (Prediction of Massive Transfusion in Trauma Patients in Prehospital and In-hospital), which is not on this map. Cited by 11 papers.
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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.
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.
Prediction of Massive Transfusion in Trauma Patients in Prehospital and In-hospital: Data From Swiss Trauma Registry (STR)
Who cites it
11 citing papers in PubMed.
- [Polytrauma in the DACH region : Comparison of trauma registry data from Germany, Austria and Switzerland].Unfallchirurgie (Heidelberg, Germany) · 2026Article
- Shock Index versus Systolic Blood Pressure for Mortality Prediction in Traumatic Hemorrhage: A Comparative Prognostic Evaluation in a Middle-Income Country.Open access emergency medicine : OAEM · 2026Article
- Association between the generation of cephalosporins for perioperative prophylaxis and postoperative surgical site infections in open fractures: a prospective cohort study.International journal of surgery (London, England) · 2025Article
- Article
- Evaluation of the prehospital administration of tranexamic acid for injured patients: a state-wide observational study with sex and age-disaggregated analysis.Emergency medicine journal : EMJ · 2024Observational
- The predictive value of four traumatic hemorrhage scores for early massive blood transfusion in trauma patients in the pre-hospital setting.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Independent predictors of mortality for critically ill patients with polytrauma: A single center, retrospective study.Heliyon · 2024Article
- Identifying traumatic significant haemorrhage is challenging for patient with low and intermediate risk, not when bleeding is obvious.Scandinavian journal of trauma, resuscitation and emergency medicine · 2023Article
- Shock Index for Early Detection of Low Plasma Fibrinogen in Trauma: A Prospective Observational Cohort Pilot Study.Journal of clinical medicine · 2023Article
- Dynamic structures and emerging trends in the management of major trauma: A bibliometric analysis of publications between 2012 and 2021.Frontiers in public health · 2022Article
- Identification of Predictive Factors for Massive Transfusion Activation in Trauma Patients: A Systematic Review and Meta-analysis.Journal of emergencies, trauma, and shockArticle
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Authors and funding
6 authors.
Funding
Abstract
backgroundEarly identification of bleeding at the scene of an injury is important for triage and timely treatment of injured patients and transport to an appropriate facility. The aim of the study is to compare the performance of different bleeding scores.
methodsWe examined data from the Swiss Trauma Registry for the years 2015-2019. The Swiss Trauma Registry includes patients with major trauma (injury severity score (ISS) ≥ 16 and/or abbreviated injury scale (AIS) head ≥ 3) admitted to any level-one trauma centre in Switzerland. We evaluated ABC, TASH and Shock index (SI) scores, used to predict massive transfusion (MT) and the BATT score and used to predict death from bleeding. We evaluated the scores when used prehospital and in-hospital in terms of discrimination (C-Statistic) and calibration (calibration slope). The outcomes were early death within 24 h and the receipt of massive transfusion (≥ 10 Red Blood cells (RBC) units in the first 24 h or ≥ 3 RBC units in the first hour).
resultsWe examined data from 13,222 major trauma patients. There were 1,533 (12%) deaths from any cause, 530 (4%) early deaths within 24 h, and 523 (4%) patients who received a MT (≥ 3 RBC within the first hour). In the prehospital setting, the BATT score had the highest discrimination for early death (C-statistic: 0.86, 95% CI 0.84-0.87) compared to the ABC score (0.63, 95% CI 0.60-0.65) and SI (0.53, 95% CI 0.50-0.56), P < 0.001. At hospital admission, the TASH score had the highest discrimination for MT (0.80, 95% CI 0.78-0.82). The positive likelihood ratio for early death were superior to 5 for BATT, ABC and TASH. The negative likelihood ratio for early death was below 0.1 only for the BATT score.
conclusionsThe BATT score accurately estimates the risk of early death with excellent performance, low undertriage, and can be used for prehospital treatment decision-making. Scores predicting MT presented a high undertriage rate. The outcome MT seems not appropriate to stratify the risk of life-threatening bleeding.
trial registrationClinicaltrials.gov, NCT04561050 . Registered 15 September 2020.
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