ArticleCureus2024
Base Deficit, International Normalized Ratio, and Glasgow Coma Scale (BIG) is a Predictor Tool for Survival and Mortality of Pediatric Trauma Patients.
Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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.
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Who cites it
1 citing paper in PubMed.
- Outcomes of Pediatric Cardiopulmonary Resuscitation: A Retrospective Cross-Sectional Study from a Single Center.Pediatric health, medicine and therapeutics · 2025Article
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9 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundAn accurate estimate of the survival and mortality at the initial trauma evaluation is essential to ensure appropriate triage and stratification of the patients for progressive care. One of the recognized tools for predicting mortality is the BIG Score, composed of admission base deficit, international normalized ratio (INR), and Glasgow Coma Scale (GCS). This study evaluates the BIG scale in predicting survival and mortality rates among pediatric trauma patients.
methodsPediatric trauma patients, aged <18 years, visiting the emergency department of a tertiary hospital in the North of Jordan from 2014 to 2019 were included. Demographic data, trauma details, and lab results were collected. The BIG score for each patient was calculated. A receiver operator characteristic (ROC) curve was generated to determine the best suitable BIG cutoff point and its probabilities.
resultsA total of 424 patients were included in this study. About two-thirds of the patients were males (n=298). The mean±SD of pH and GCS values were significantly lower among dead patients (6.0±2.5, 3.7±3.9, respectively) in comparison to alive ones (7.3±2.7, 11.5±5.5, respectively) (
conclusionsThe current study has shown the added value of the BIG score as a simple and rapid tool to predict prognosis in pediatric trauma settings. The BIG score with a cutoff point of ≥10.0 is highly efficient in predicting pediatric trauma patients' mortality rates. However, the BIG score demonstrates greater accuracy in predicting survival outcomes compared to its ability to predict mortality among pediatric trauma patients.
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