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Casas, Isidro, Amador Marchante, María Auxiliadora, Paduraru, Mihai, Fabregues Olea, Ana Isabel, Nolasco Bonmatí, Andreu, Medina, Juan Carlos. (1395). Thorax Trauma Severity Score: Is it reliable for Patient’s Evaluation in a Secondary Level Hospital?. سامانه مدیریت نشریات علمی, 4(Issue 3), 150-155.
Isidro Martínez Casas; María Auxiliadora Amador Marchante; Mihai Paduraru; Ana Isabel Fabregues Olea; Andreu Nolasco Bonmatí; Juan Carlos Medina. "Thorax Trauma Severity Score: Is it reliable for Patient’s Evaluation in a Secondary Level Hospital?". سامانه مدیریت نشریات علمی, 4, Issue 3, 1395, 150-155.
Casas, Isidro, Amador Marchante, María Auxiliadora, Paduraru, Mihai, Fabregues Olea, Ana Isabel, Nolasco Bonmatí, Andreu, Medina, Juan Carlos. (1395). 'Thorax Trauma Severity Score: Is it reliable for Patient’s Evaluation in a Secondary Level Hospital?', سامانه مدیریت نشریات علمی, 4(Issue 3), pp. 150-155.
Casas, Isidro, Amador Marchante, María Auxiliadora, Paduraru, Mihai, Fabregues Olea, Ana Isabel, Nolasco Bonmatí, Andreu, Medina, Juan Carlos. Thorax Trauma Severity Score: Is it reliable for Patient’s Evaluation in a Secondary Level Hospital?. سامانه مدیریت نشریات علمی, 1395; 4(Issue 3): 150-155.

Thorax Trauma Severity Score: Is it reliable for Patient’s Evaluation in a Secondary Level Hospital?

Bulletin of Emergency And Trauma
مقاله 7، دوره 4، Issue 3، مهر 2016، صفحه 150-155    اصل مقاله (725.47 K)
نویسندگان
Isidro Martínez Casas* 1؛ María Auxiliadora Amador Marchante2؛ Mihai Paduraru3؛ Ana Isabel Fabregues Olea4؛ Andreu Nolasco Bonmatí5؛ Juan Carlos Medina6
1MD, PhD, FACS, HFEBS Em-Surg. General and Digestive Surgery. Complejo Hospitalario de Jaén
2General and Digestive Surgery. Complejo Hospitalario de Jaén
3General and Digestive Surgery. Hospital de Tomelloso.
4General and Digestive Surgery. Hospital General de Elda.
5Research Unit for the Analysis of Mortality and Health Statistics, Department of Community Nursing, Preventive Medicine, Public Health and History of Science. University of Alicante
6Emergency Service. Hospital Universitario de Torrevieja. Alicante
چکیده
Objective: To determine the predictive and diagnostic value of thorax trauma severity score (TTSS) in a population of thoracic trauma patients admitted to a secondary level trauma center.Methods: A Retrospective analysis of patients admitted over a period of two years with IDC-9 codes related to thoracic trauma was undertaken. The association of TTSS with complications and mortality was evaluated. We also determined the predictive value of TTSS using receiver operating characteristic curve (ROC).Results: 238 patients with thoracic trauma, mostly middle-aged (62.2 ± 15 years), were included. The main mechanisms of injury were falls and traffic accidents. Thirty-three patients had important extra-thoracic injuries, but only 9 presented an ISS> 15. The average ISS was 3 ± 5; Morbidity was 2.5% and mortality was 2.1% as a result of thoracic injury and these patients had significantly higherTTSS values. Each score component was analyzed separately, showing significant association with complications and mortality. The area under the curve for TTSS was significant for predicting complications (0.848) and mortality (0.856) values. TTSS with a cut off value of 8 points had a sensitivity of 66% and specificity of 94% to predict complications and 80% sensitivity and 94% specificity for predicting mortality.Conclusions: The TTSS is an appropriate and feasible tool to predict the development of complications or mortality in a population of mostly mild thoracic trauma.
کلیدواژه‌ها
Thorax Trauma Severity Score (TTSS)؛ Thoracic Trauma؛ Mortality؛ Morbidity؛ Predictive value
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