Novel Trauma Composite Score Is A More Reliable Predictor Of Mortality Than Injury Severity Score In Pediatric Trauma

Abstract Background: In-hospital mortality in trauma patients decreased recently owing to improved trauma injury prevention systems. However, no study which evaluated the validity of Trauma and Injury Severity Score (TRISS) in pediatrics by detailed classification of patients’ age and injury severity in Japan. This retrospective nationwide study evaluated the validity of TRISS in predicting survival in Japanese pediatric patients with blunt trauma by age and injury severity.Methods: Data were obtained from the Japan Trauma Data Bank during 2009−2018.Results: In all age categories, the area under the curve (AUC) for TRISS demonstrated high performance (0.935, 0.981, 0.979, and 0.977). The Accuracy of TRISS was 99.9%, 98.2%, 92.1%, 76.7%, 55.3%, and 72.1% in survival probability (Ps) interval groups (0.96−1.00), (0.91−0.95), (0.76.−0.90), (0.51−0.75), (0.26−0.50), and (0.00−0.25), respectively. The AUC for TRISS demonstrated moderate performance in the Ps interval group (0.96−1.00) and low performance in other Ps interval groups.Conclusions: The TRISS methodology appears to predict survival accurately in Japanese pediatric patients with blunt trauma; however, there were several problems in adopting the TRISS methodology for younger blunt trauma patients with higher injury severity. In the future, we should consider to conducting a simple, high-quality prediction model that is more suitable for pediatric trauma patients than the current TRISS model.

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The Pediatric Risk of Mortality (PRISM) score and Injury Severity Score (ISS) for predicting resource utilization and outcome of intensive care in pediatric trauma

Critical Care Medicine ◽

10.1097/00003246-199905000-00041 ◽

1999 ◽

Vol 27 (5) ◽

pp. 985-988 ◽

Cited By ~ 26

Author(s):

Frank V. Castello ◽

Anthony Cassano ◽

Patrice Gregory ◽

Jeffrey Hammond

Keyword(s):

Intensive Care ◽

Injury Severity Score ◽

Resource Utilization ◽

Severity Score ◽

Injury Severity ◽

Pediatric Trauma ◽

Prism Score ◽

Risk Of Mortality

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Novel Trauma Composite Score is Superior to Injury Severity Score in Predicting Mortality Across All Ages

Journal of Trauma and Acute Care Surgery ◽

10.1097/ta.0000000000003340 ◽

2021 ◽

Vol Publish Ahead of Print ◽

Author(s):

Robert C. Keskey ◽

Mark B. Slidell ◽

Nicole L. Bohr ◽

Henry Biermann ◽

Justin Cirone ◽

...

Keyword(s):

Injury Severity Score ◽

Severity Score ◽

Injury Severity ◽

Composite Score

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Evaluation of Injury Severity: Review of the Most Commonly Used System for the Evaluation of Injury Severity in Traumatologic Patients

N.N. Priorov Journal of Traumatology and Orthopedics ◽

10.17816/vto200310316-19 ◽

2003 ◽

Vol 10 (3) ◽

pp. 16-19 ◽

Cited By ~ 1

Author(s):

A Karlbauer ◽

R Woidke ◽

A Karlbauer ◽

R Woidke

Keyword(s):

Injury Severity Score ◽

Severity Score ◽

Injury Severity ◽

Pediatric Trauma ◽

Abbreviated Injury Scale ◽

Coma Scale ◽

Advantages And Disadvantages ◽

Revised Trauma Score ◽

Golden Standard ◽

Trauma Score

The most commonly used systems for the evaluation of injury severity in traumatologic patients are presented: Glasgo Coma Scale, Mangled Extremity Severity Score, Revised Trauma Score, Abbreviated Injury Scale, Injury Severity Score, Pediatric Trauma Score. Their advantages and disadvantages are given. At present Injury Severity Score is considered to be a «Golden Standard.

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