ArticleBMC emergency medicine2024
Comparing NEWS2, TRISS, and RTS in predicting mortality rate in trauma patients based on prehospital data set: a diagnostic study.
Article in BMC emergency medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Prehospital severity and in-hospital mortality in trauma patients managed by the Friuli-Venezia Giulia helicopter emergency medical service: a 6-year retrospective cohort study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Observational
- Predictive Performance of Trauma Scoring Systems for Mortality in Patients with High-Energy Trauma in the Emergency Department.Journal of clinical medicine · 2026Article
- Influence of frailty on short-term mortality in older patients with multiple trauma in the emergency department.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Observational
- The role of vasopressin in trauma resuscitation: a protocol of a systematic review and meta-analysis of randomized and observational studies.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Article
- Early Risk Stratification of Severe Trauma in the Emergency Department: Integrating Clinical Scoring Systems, Dynamic Biomarkers, and Artificial Intelligence-A Narrative Review.Therapeutics and clinical risk management · 2026Review
- Comparison of Trauma Scoring Systems for Predicting Mortality in Emergency Department Patients with Traffic-Related Multiple Trauma.Diagnostics (Basel, Switzerland) · 2025Article
- Incidence, Pattern and Mortality of Traumatic Abdominal Injury, a Three-Year Study at the Largest Trauma Center in Southern Iran: A Cross-Sectional Study.Health science reports · 2025Article
- AI-Driven Prediction of Glasgow Coma Scale Outcomes in Anterior Communicating Artery Aneurysms.Journal of clinical medicine · 2025Article
- Predictive performance of prehospital trauma triage tools for resuscitative interventions within 24 hours in high-risk or life-threatening prehospital trauma patients.BMC emergency medicine · 2025Article
- Predictive and Prognostic Importance of National Early Warning Score 2 (NEWS2) in Emergency Room Patients.Cureus · 2025Article
- Prevalence and Survival Rate of Trauma Patients who Underwent Resuscitative Thoracotomy in a Level One Trauma Center in Southern Iran.Bulletin of emergency and trauma · 2024Article
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Authors and funding
4 authors.
Funding
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Abstract
backgroundIn the recent years, National Early Warning Score2 (NEWS2) is utilized to predict early on, the worsening of clinical status in patients. To this date the predictive accuracy of National Early Warning Score (NEWS2), Revised Trauma Score (RTS), and Trauma and injury severity score (TRISS) regarding the trauma patients' mortality rate have not been compared. Therefore, the objective of this study is comparing NEWS2, TRISS, and RTS in predicting mortality rate in trauma patients based on prehospital data set.
methodsThis cross-sectional retrospective diagnostic study performed on 6905 trauma patients, of which 4191 were found eligible, referred to the largest trauma center in southern Iran, Shiraz, during 2022-2023 based on their prehospital data set in order to compare the prognostic power of NEWS2, RTS, and TRISS in predicting in-hospital mortality rate. Patients are divided into deceased and survived groups. Demographic data, vital signs, and GCS were obtained from the patients and scoring systems were calculated and compared between the two groups. TRISS and ISS are calculated with in-hospital data set; others are based on prehospital data set.
resultsA total of 129 patients have deceased. Age, cause of injury, length of hospital stay, SBP, RR, HR, temperature, SpO2, and GCS were associated with mortality (p-value < 0.001). TRISS and RTS had the highest sensitivity and specificity respectively (77.52, CI 95% [69.3-84.4] and 93.99, CI 95% [93.2-94.7]). TRISS had the highest area under the ROC curve (0.934) followed by NEWS2 (0.879), GCS (0.815), RTS (0.812), and ISS (0.774). TRISS and NEWS were superior to RTS, GCS, and ISS (p-value < 0.0001).
conclusionThis novel study compares the accuracy of NEWS2, TRISS, and RTS scoring systems in predicting mortality rate based on prehospital data. The findings suggest that all the scoring systems can predict mortality, with TRISS being the most accurate of them, followed by NEWS2. Considering the time consumption and ease of use, NEWS2 seems to be accurate and quick in predicting mortality based on prehospital data set.
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