Comparison of Shiraz Trauma Transfusion Score (STTS) Potency With Common Scoring Systems for Trauma in Predicting the Short and Long Term Mortality of Injured Patients

Abstract Background and Objective: Trauma is the leading cause of death in people under 40 years of age worldwide. Various studies have been conducted focused on reducing the annual mortality rate due to trauma. One of the most important measures is reducing the time between the incident and the treatment set up, therefore the estimation of the severity of trauma and progressing to mortality before further evaluation is justified. In this study, we aim to compare different trauma scoring systems (such as GAP, MGAP, RTS, TRISS) with a relatively new model – Shiraz Trauma Transfusion Score (STTS) – and to describe the best qualities of these scoring systems for trauma patients in short (less than 24 hours) and long (more than 24 hours) term.Methods: In this cross-sectional study, data from hospitalized trauma patients in Rajaei hospital (center B) of Shiraz, Iran from May to November 2016 were collected and analyzed. Collected data consisted of age, sex, hospital admission duration, mechanism of trauma along with clinical data for calculating different trauma scoring systems, were recorded. Results: while RTS and STTS were the best predictors of mortality in trauma patients in the first 24 hours (sensitivity of 100.00%), GAP and MGAP were the best predictors of the patients’ survival (specificity of 93.83% and 92.59%). GAP and ISS were the best predictors of mortality in trauma patients for more than 24 hours (sensitivity of 82.02%). On the other hand, TRIS and RTS were the best predictors of patients' survival (specificity of 82.59% and 80.26%).Conclusions: Our study findings suggest that the utility and applicability of Shiraz Trauma Transfusion Score(STTS) in predicting mortality is not only comparable with other commonly used scoring methods but it may be of more value in shortterm mortality prediction.

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Comparison of Shiraz Trauma Transfusion Score (STTS) Potency With Common Scoring Systems for Trauma in Predicting the Short and Long Term Mortality of Injured Patients

10.21203/rs.3.rs-56004/v1 ◽

2020 ◽

Author(s):

Sepideh Vosooghi Rahbari ◽

Hamidreza Hosseinpour ◽

Mohamadreza Karoobi ◽

Hojat Abolghasemi ◽

Ali Shahabinezhad ◽

...

Keyword(s):

Laboratory Data ◽

Scoring Systems ◽

Study Data ◽

Mortality Prediction ◽

Trauma Patients ◽

Cross Sectional ◽

Predictors Of Mortality ◽

Trauma Scoring ◽

Short And Long Term

Abstract background: Trauma is the leading cause of death in people under 40 years of age worldwide. Various studies have been conducted focused on reducing the annual mortality rate due to trauma. One of the most important measures is reducing the time between the incident and the treatment set up, therefore estimation of the severity of trauma and progressing to mortality before further evaluation is justified. Numerous trauma scoring systems have been apllied worldwide as models for predicting mortality of trauma patients in short and long term periods based on clinical and laboratory data. In this study we aim to compare different trauma scoring systems (such as GAP, MGAP, RTS, TRISS) with a relatively new model – Shiraz Trauma Transfusion Score (STTS) – and to discribe the best qualities of these scoring systems for trauma patients in short (less than 24 hours) and long (more than 24 hours) term.Methods: In this cross-sectional study, data from hospitalized trauma patients in Rajaei hospital (center B) of Shiraz, Iran from May to November 2016 were collected and analyzed. Collected data consisted of age, sex, hospital admission duration, mechanism of trauma along with clinical data for calculating different trauma scoring systems, were recorded. Results: while RTS and STTS were the best predictors of mortality in trauma patients in the first 24 hours (sensitivity of 100.00%), GAP and MGAP were the best predictors of the patients’ survival (specificity of 93.83% and 92.59%). GAP and ISS were the best predictors of mortality in trauma patients for more than 24 hours (sensitivity of 82.02%). On the other hand, TRIS and RTS was the best predictors of patients' survival (specificity of 82.59% and 80.26%).Conclusion: Our study findings suggest that the utility and applicability of Shiraz Trauma Transfusion Score(STTS) in predicting mortality is not only comparable with other commonly used scoring methods but it may be of more value in short term mortality prediction.

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Comparison of Shiraz Trauma Transfusion Score (STTS) Potency With Common Scoring Systems for Trauma in Predicting the Short and Long Term Mortality of Injured Patients

10.21203/rs.3.rs-56004/v2 ◽

2021 ◽

Author(s):

Sepideh Vosooghi Rahbari ◽

Hamidreza Hosseinpour ◽

Mohamadreza Karoobi ◽

Hojat Abolghasemi ◽

Ali Shahabinezhad ◽

...

Keyword(s):

Laboratory Data ◽

Scoring Systems ◽

Study Data ◽

Mortality Prediction ◽

Trauma Patients ◽

Cross Sectional ◽

Predictors Of Mortality ◽

Trauma Scoring ◽

Short And Long Term

Abstract Background: Trauma is the leading cause of death in people under 40 years of age worldwide. Various studies have been conducted focused on reducing the annual mortality rate due to trauma. One of the most important measures is reducing the time between the incident and the treatment set up, therefore estimation of the severity of trauma and progressing to mortality before further evaluation is justified. Numerous trauma scoring systems have been apllied worldwide as models for predicting mortality of trauma patients in short and long term periods based on clinical and laboratory data. In this study we aim to compare different trauma scoring systems (such as GAP, MGAP, RTS, TRISS) with a relatively new model – Shiraz Trauma Transfusion Score (STTS) – and to discribe the best qualities of these scoring systems for trauma patients in short (less than 24 hours) and long (more than 24 hours) term.Methods: In this cross-sectional study, data from hospitalized trauma patients in Rajaei hospital (center B) of Shiraz, Iran from May to November 2016 were collected and analyzed. Collected data consisted of age, sex, hospital admission duration, mechanism of trauma along with clinical data for calculating different trauma scoring systems, were recorded. Results: while RTS and STTS were the best predictors of mortality in trauma patients in the first 24 hours (sensitivity of 100.00%), GAP and MGAP were the best predictors of the patients’ survival (specificity of 93.83% and 92.59%). GAP and ISS were the best predictors of mortality in trauma patients for more than 24 hours (sensitivity of 82.02%). On the other hand, TRIS and RTS was the best predictors of patients' survival (specificity of 82.59% and 80.26%).Conclusions: Our study findings suggest that the utility and applicability of Shiraz Trauma Transfusion Score(STTS) in predicting mortality is not only comparable with other commonly used scoring methods but it may be of more value in short term mortality prediction.

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Critical adjustments in a department of orthopedics through the COVID-19 pandemic

10.21203/rs.3.rs-31861/v1 ◽

2020 ◽

Author(s):

Gonzalo Luengo-Alonso ◽

Fernando García-Seisdedos Pérez-Tabernero ◽

Miguel Tovar Bazaga ◽

José M Arguello-Cuenca ◽

Emilio Calvo

Keyword(s):

Surgical Procedures ◽

Tertiary Hospital ◽

Cross Sectional Study ◽

General View ◽

Trauma Patients ◽

New Paradigm ◽

Cross Sectional ◽

Extreme Stress ◽

Elective Surgical Procedures ◽

Set Up

Abstract Purpose:SARS-CoV-2 new scenario has forced health systems to work under extreme stress urging to perform a complete reorganization of the way our means and activities were organized. Orthopedic and trauma have rescheduled their activities to help SARS-CoV-2 units, but trauma patients require also treatment, and no standardized protocols have been established.Methods: Single-center cross-sectional study was performed in a tertiary hospital. Two different periods of time were analyzed: a two-week period time in March 2019 (pre-SARS-CoV-2) and the same period of March 2020 (SARS-CoV-2 pandemic time). Outpatient’s data, emergency activity, surgical procedures and admissions were evaluated. Surgeons and patient´s opinion was also evaluated using a survey.Results:A total of ~16k (15.953) patients were evaluated. Scheduled clinical appointments decreased by ~22%. Urgent consultations and discharge from clinics also descended (~37% and ~20% respectively). Telemedicine was used in 90% of outpatient clinical evaluations. No elective surgical procedures during SARS-CoV-2 time were scheduled, and subtracting the effect of elective surgeries, a reduction of inpatient surgeries, from ~85% to ~59%. Patients delayed trauma assistance more than 48 hours in 13 cases (35%). Preoperative admission for hip fractures decreased in 10 hours on average. Finally surveys stated that patients were more in favor than surgeons to this new way to evaluate orthopedic and trauma patients based strongly on telemedicine.ConclusionDetailed protocols should be standardized for surgical departments during the pandemic. This paper offers a general view in how this virus affects an orthopedic unit and could serve as a protocol and example for orthopedic and trauma units. Even in the worst scenario, an orthopedic and Trauma unit could offer an effective, efficient and quality service. SARS-CoV-2 will set up a new paradigm for health care in orthopedics and trauma.

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Mortality Prediction in Trauma Patients using Three Different Physiological Trauma Scoring Systems

Panamerican Journal of Trauma, Critical Care & Emergency Surgery ◽

10.5005/jp-journals-10030-1187 ◽

2017 ◽

Vol 6 (3) ◽

pp. 160-168

Author(s):

Danilo M Razente ◽

Bruno D Alvarez ◽

Daniel AM Lacerda ◽

João MDS Biscardi ◽

Marcia Olandoski ◽

...

Keyword(s):

Glasgow Coma Scale ◽

Blunt Trauma ◽

Scoring Systems ◽

Mortality Prediction ◽

Trauma Patients ◽

Coma Scale ◽

Significant Difference ◽

Trauma Scoring ◽

The Mean ◽

Trauma Victims

ABSTRACT Background This study aims to compare mortality prediction capabilities of three different physiological trauma scoring systems (TSS): Revised Trauma Score (RTS) Glasgow Coma Scale, Age, and Systolic Blood Pressure (GAP) and Mechanism, Glasgow Coma Scale, Age, and Arterial Pressure (MGAP). Study design A descriptive, cross-sectional study of trauma victims admitted to the emergency service between December-2013 and February-2014. Clinical and epidemiological information were gathered at admission and three TSS were calculated: RTS, GAP, and MGAP. The follow-up period to assess length of hospitalization and mortality lasted until August-2014. Two groups were created — survivals (S) and deaths (D) — and compared. P < 0.05 was considered statistically significant. Results A total of 668 trauma victims were analyzed. The mean age was 37 ± 18 and 69.8% were males. Blunt trauma prevailed (90.6%). The mean scores of RTS, GAP, and MGAP for group S (n = 657; 98.4%) were 7.77 ± 0.33, 22.8 ± 1.7, and 27.4 ± 2.3 respectively (p < 0.001), whereas group D (n = 11, 1.6%) achieved mean scores of 4.57 ± 2.95, 13 ± 7, and 15.5 ± 7 (p < 0.001). Regarding the Receiver Operating Characteristics (ROC) analysis, the areas under the curve were 0.926 (RTS), 0.941 (GAP), and 0.981 (MGAP). The three TSS demonstrated significant mortality prediction capabilities (p < 0.001). There was no statistically significant difference between the three ROC curves (p = 0.138). The MGAP achieved the highest sensitivity (100%), while GAP and RTS sensitivities were 81.8% (59—100%), and 90.9% (73.9—100%) respectively (p < 0.001). The observed specificities were 96.2% (94.77—97.7%) for GAP, 91.6% (89.5—93.7%) for MGAP, and 87.2% (84.7—89.8%) for RTS (p < 0.001). Age (p = 0.049), Glasgow Coma Scale (GCS) (p < 0.001), and trauma mechanism (p < 0.001) were different between the two groups. Conclusion Most patients were young males and victims of blunt trauma. The three TSS demonstrated reliability regarding mortality prediction. The MGAP achieved the highest sensitivity and GAP was the most specific score, which may indicate a potential use of both as valuable alternatives to RTS. How to cite this article Razente DM, Alvarez BD, Lacerda DAM, Biscardi JMDS, Olandoski M, Bahten LCV. Mortality Prediction in Trauma Patients using Three Different Physiological Trauma Scoring Systems. Panam J Trauma Crit Care Emerg Surg 2017;6(3):160-168.

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Control Rate of Diabetic and Hypertensive Adult Patients in Association with Demographic and Healthy Behaviour Factors in Garmian- Kurdistan Region

Kurdistan Journal of Applied Research ◽

10.24017/science.2016.1.2.3 ◽

2016 ◽

Vol 1 (2) ◽

pp. 12-19

Author(s):

Muaf Abdulla Karim ◽

Jamal Kareem Shakor ◽

Bootan Hasan Ahmed ◽

Dlzar Omer Qadir ◽

Saleem Saaed Qader

Keyword(s):

Risk Factors ◽

Cross Sectional Study ◽

Study Data ◽

Probability Method ◽

Cross Sectional ◽

The Social ◽

Health Related ◽

High Control ◽

Set Up ◽

Social Demographic

Hypertension and diabetes mellitus (DM) are the two major inter-correlated risk factors of cardiovascular diseases, which considered as the major causes of morbidity and mortality. This study is set up to determine control rate, and the social demographic and health related behaviours risk factors in association with control rate in hypertensive and/or diabetes patients who are under treatment. Cross sectional study was carried out in this study. Data have been collected by well-trained paramedics through direct interviews using structured questionnaire with the participants. A conventional sampling which is one of the main types of non-probability method was used for collecting data. SPSS version 16 was used for analysing data. 338 patients were recruited into the study, 150(44.1%) of participants with hypertension,88(25.9%) with diabetes and the rest 100(29.4%) with both diseases. Patients who diagnosed with hypertension weremore under control 83 (55.3%) in comparison with diabetic23(26.1%) and patients who were diagnosed both conditions 18(18.0%). High control rate was observed in hypertension patients compared to diabetes and those diagnosed both conditions. Cor morbidity was the main cause of uncontrolled rate.

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Correlation of dysoxia metabolism markers with trauma scoring systems in multiple trauma patients admitted to the emergency department: A cross-sectional observational study

Archives of Trauma Research ◽

10.4103/atr.atr_88_18 ◽

2019 ◽

Vol 8 (1) ◽

pp. 11

Author(s):

SeyedMojtaba Aghili ◽

Reza Nikfarjam ◽

Zahra Khazaeipour ◽

Alireza Baratloo

Keyword(s):

Emergency Department ◽

Observational Study ◽

Multiple Trauma ◽

Scoring Systems ◽

Trauma Patients ◽

Cross Sectional ◽

Trauma Scoring ◽

Multiple Trauma Patients

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Comparing APACHE II, APACHE IV, SAPS II, and SOFA Predictive Power in Poisoned Patients Admitted to the Intensive Care Unit

International Journal of Medical Toxicology and Forensic Medicine ◽

10.32598/ijmtfm.v10i2.28814 ◽

2020 ◽

Vol 10 (2) ◽

Author(s):

Samaneh Silakhori ◽

Bita Dadpour ◽

Majid Khadem-Rezaiyan ◽

Alireza Sedaghat ◽

Farzad Mirzakhani

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Scoring Systems ◽

Cross Sectional Study ◽

Mortality Prediction ◽

Apache Ii ◽

Cross Sectional ◽

Saps Ii ◽

Hospitalization Period ◽

Apache Iv

Background: This study aimed to assess the performance of the Acute Physiology and Chronic Health Evaluation (APACHE) II, APACHE IV, Simplified Acute Physiologic Score (SAPS) II, and Sequential Organ Failure Assessment (SOFA) scores in predicting mortality rate in poisoning patients admitted to an intensive care unit (ICU).Methods: This cross-sectional study was performed on all admitted patients in the poisoning ICU of Imam Reza Hospital, Mashhad City, Iran. All patients were evaluated for three consecutive days since admission time and then every two days until discharge from ICU or death. The scoring systems mentioned above were calculated and analyzed by MedCalc statistical software version 18.9.1 and SPSS version 16.Results: Overall, 150 patients were studied, out of whom 67% (101) were male. Their mean±SD age was 41.6±18.9 years. In their whole hospitalization period, APACHE II (79.5%), SAPS II (78.7%), APACHE IV (78.4%), and SOFA (72.9%) were the most precise measures. On the first day of admission APACHE II (77.4%), on the second day, APACHE II (83.1%), on the third day, APACHE II (90.7%), and on the fifth day, SOFA (81.6%) were the most precise measures.Conclusion: All four systems have acceptable discriminatory power for poisoned patients. However, it seems that APACHE II can be used for mortality prediction, especially in the early days of admission.

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Conflict Avoidance in Old Age

GeroPsych ◽

10.1024/1662-9647/a000168 ◽

2017 ◽

Vol 30 (2) ◽

pp. 61-70 ◽

Cited By ~ 4

Author(s):

Lia Oberhauser ◽

Andreas B. Neubauer ◽

Eva-Marie Kessler

Keyword(s):

Social Support ◽

Perceived Social Support ◽

Well Being ◽

Cross Sectional Study ◽

Conflict Avoidance ◽

Subjective Well Being ◽

Sectional Study ◽

Cross Sectional ◽

Adult Lifespan ◽

Set Up

Abstract. Conflict avoidance increases across the adult lifespan. This cross-sectional study looks at conflict avoidance as part of a mechanism to regulate belongingness needs ( Sheldon, 2011 ). We assumed that older adults perceive more threats to their belongingness when they contemplate their future, and that they preventively react with avoidance coping. We set up a model predicting conflict avoidance that included perceptions of future nonbelonging, termed anticipated loneliness, and other predictors including sociodemographics, indicators of subjective well-being and perceived social support (N = 331, aged 40–87). Anticipated loneliness predicted conflict avoidance above all other predictors and partially mediated the age-association of conflict avoidance. Results suggest that belongingness regulation accounts may deepen our understanding of conflict avoidance in the second half of life.

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Studying and More: Part-Time Employment as an Educational Challenge?

Journal of Medical Psychology ◽

10.3233/jmp-200024 ◽

2020 ◽

Vol 1 (1) ◽

pp. 57-63

Author(s):

Silke Heuse ◽

Cathrin Dietze ◽

Daniel Fodor ◽

Edgar Voltmer

Keyword(s):

Health Care ◽

Perceived Stress ◽

Health Care Professionals ◽

Cross Sectional Study ◽

Study Data ◽

Future Health ◽

Cross Sectional ◽

Professional Students ◽

Educational Challenge ◽

Part Time

Background: Future health-care professionals face stress both during education and in later professional life. Next to educational trainings, many students are forced to assume part-time employment. Objective: Applying the Job Demands-Resources Model to the educational context, we investigate which role part-time employment plays next to health-care professional students’ education-specific demands and resources in the prediction of perceived stress. Method: In this cross-sectional study, data from N = 161 health-care students were analysed, testing moderation models. Results: Education-specific demands were associated with higher and education-specific resources with lower amounts of perceived stress. Part-time employment functioned as moderator, i.e. demands were less associated with stress experiences in students who were employed part-time. Conclusion: Identifying part-time employment as a resource rather than a demand illustrates the need to understand students’ individual influences on stress. Both educators and students will benefit from reflecting these resources to support students’ stress management.

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