Observational studyUlusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES2023
Association between pre-hospital National Early Warning Score and in-hospital mortality in patients with traumatic brain injury.
Observational study in Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.
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Who cites it
3 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Impact of fever on the outcome non-anoxic acute brain injury patients: a systematic review and meta-analysis.Critical care (London, England) · 2024Pooled it
- External validation of the International Early Warning Score in non-traumatic emergency department patients: a prospective cohort study.BMC emergency medicine · 2025Observational
- Article
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Authors and funding
4 authors.
Funding
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Abstract
backgroundThis study aimed to examine the association between the outcome of traumatic brain injury (TBI) and pre-hospital National Early Warning Score (NEWS), Injury Severity Score (ISS), and Revised Trauma Score (RTS).
methodsThis retrospective and observational study included adult patients with TBI admitted to the pre-hospital emergency medical services system between January 2019 and December 2020. TBI was considered when the abbreviated injury scale score was 3 or higher. The primary outcome was in-hospital mortality.
resultsAmong 248 patients included in the study, in-hospital mortality was 18.5% (n=46). In the multivariate analysis for predict-ing in-hospital mortality, pre-hospital NEWS (Odds ratio [OR], 1.198; 95% Confidence interval [CI], 1.042-1.378) and RTS (OR, 0.568; 95% CI, 0.422-0.766) were independently associated with in-hospital mortality. The area under the curves (AUCs) for ISS, RTS, and pre-hospital NEWS were 0.731 (95% CI, 0.672-0.786), 0.853 (95% CI, 0.802-0.894), and 0.843 (95% CI, 0.791-0.886), respectively. The AUC of pre-hospital NEWS was significantly different from that of ISS but not from that of RTS.
conclusionPre-hospital NEWS could contribute to improving prognosis by aiding in the rapid classification of patients with TBI in the field and their transportation to appropriate hospitals.
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