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Rahmanian, Mohammad Reza, Shahedi, Abolfazl. (1404). Comment on “Comparative Analysis of “Trauma and Injury Severity Scores” and “Madras Head Injury Prognostic Scale” in Assessing Head Trauma Prognosis in the Emergency Department of Shahid Beheshti Hospital, Sabzevar, Iran”. سامانه مدیریت نشریات علمی, (), -. doi: 10.30476/beat.2025.108588.1631
Mohammad Reza Rahmanian; Abolfazl Shahedi. "Comment on “Comparative Analysis of “Trauma and Injury Severity Scores” and “Madras Head Injury Prognostic Scale” in Assessing Head Trauma Prognosis in the Emergency Department of Shahid Beheshti Hospital, Sabzevar, Iran”". سامانه مدیریت نشریات علمی, , , 1404, -. doi: 10.30476/beat.2025.108588.1631
Rahmanian, Mohammad Reza, Shahedi, Abolfazl. (1404). 'Comment on “Comparative Analysis of “Trauma and Injury Severity Scores” and “Madras Head Injury Prognostic Scale” in Assessing Head Trauma Prognosis in the Emergency Department of Shahid Beheshti Hospital, Sabzevar, Iran”', سامانه مدیریت نشریات علمی, (), pp. -. doi: 10.30476/beat.2025.108588.1631
Rahmanian, Mohammad Reza, Shahedi, Abolfazl. Comment on “Comparative Analysis of “Trauma and Injury Severity Scores” and “Madras Head Injury Prognostic Scale” in Assessing Head Trauma Prognosis in the Emergency Department of Shahid Beheshti Hospital, Sabzevar, Iran”. سامانه مدیریت نشریات علمی, 1404; (): -. doi: 10.30476/beat.2025.108588.1631

Comment on “Comparative Analysis of “Trauma and Injury Severity Scores” and “Madras Head Injury Prognostic Scale” in Assessing Head Trauma Prognosis in the Emergency Department of Shahid Beheshti Hospital, Sabzevar, Iran”

Bulletin of Emergency And Trauma
مقالات آماده انتشار، پذیرفته شده، انتشار آنلاین از تاریخ 05 آبان 1404    اصل مقاله (442.98 K)
نوع مقاله: Letter to the Editor
شناسه دیجیتال (DOI): 10.30476/beat.2025.108588.1631
نویسندگان
Mohammad Reza Rahmanian* 1؛ Abolfazl Shahedi2
1School of medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
2School of medicine, Shiraz University of medical Sciences, Shiraz,Iran.
چکیده
We evaluated the recent prospective study by Hamidnezhad et al. comparing Trauma and Injury Severity Score (TRISS) and Madras Head Injury Prognostic Scale (MHIPS) in traumatic brain injury. The authors showed that both tools are good predictors of mortality and ICU admission, with higher specificity for TRISS and higher sensitivity for MHIPS. Their two-endpoint methodology, sound approach, and robust statistical methodology greatly enhance confidence in the result. However, several areas for future improvement still exist. Calibration, necessary to evaluate agreement between predicted and observed outcomes, was not assessed, although it is key to prognostic modelling. Further, Decision Curve Analysis might illuminate net clinical benefit over threshold probabilities. Wider issues in trauma prognostic models, like small sample sizes, sparse external validation, unsatisfactory treatment of missing data, and dichotomizing of continuous predictors, also need to be improved. Lastly, stability of models deserves more consideration to permit transportability to other settings. We praise the authors' contribution and issue these improvements as recommendations for future prognostic studies in head injury.
کلیدواژه‌ها
Traumatic Brain Injury؛ Prognostic Models؛ Model Calibration
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