Citation

Jansiriyotin P, Teeratakulpisarn P, Angkasith P, Tanmit P, Prasertcharoensuk S, Wongkonkitsin N, Thanapaisal C, Lawanaskol S. J. Emerg. Med. Trauma Acute Care 2023; 2023(2).

Copyright

(Copyright © 2023, Hamad Medical Corporation)

DOI

10.5339/jemtac.2023.23

PMID

unavailable

Abstract

Injuries remain one of the leading causes of death in low-to-middle-income countries.1,2 There is an attempt to develop a trauma system to improve the victims' survival and measure the outcomes.3 Over 50 clinical prediction models, broadly called trauma and injury scoring systems4-6 have been developed to predict the probability of survival (PS) of the victims suffering from injuries and to reflect the outcomes of trauma care, for example, the Trauma Injury Severity Score (TRISS), Abbreviated Injury Score (AIS), Injury Severity Score (ISS), Revised Trauma Score (RTS), Glasgow Coma Scale (GCS), and A Severity Characterization of Trauma (ASCOT).7 These statistical methods allow a hospital to compare its norms against others. As usual, none of the clinical scoring systems fits all the patients. Despite the worldwide acceptance, TRISS has some limitations, mainly when applied to specific subgroup populations such as the elderly and patients with predictors such as systolic blood pressure (SBP), GCS, and Head AIS.9 In 2009, Lefering10 developed the Revised Injury Severity Classification score (RISC). In 2014, he updated it to version II (RISC II).11 RISC II was claimed to be superior to TRISS in predicting 30-day mortality rates in primary blunt trauma patients in Hong Kong12 and used to predict mortality rates in Resuscitative endovascular occlusion of the aorta (REBOA) managed severe trauma patients.13,14 In low-to-middle-income countries, especially in Southeast Asia, there is a lack of relevant studies on RISC II predicting mortality. This study compares RISC II and TRISS in predicting 30-day mortality rates in primary trauma patients admitted to a university hospital in northeastern Thailand.

Language: en

Keywords

trauma; TRISS; survival; RISCII; trauma score