@article{ref1,
title="Development of a modified trauma and injury severity score to predict disability in acute trauma patients",
journal="Clinical and experimental emergency medicine",
year="2020",
author="Shin, Sang Do and Song, Kyoung Jun and Hong, Ki Jeong and Lee, Seung Chul and Park, Jeong Ho and Ro, Young Sun and Kim, Chu Hyun",
volume="7",
number="4",
pages="281-289",
abstract="OBJECTIVE: The Trauma and Injury Severity Score (TRISS) has been used to predict trauma patient mortality and to assess the quality of trauma care systems. The goal  of this investigation was to develop a modified trauma-related injury severity score  (termed the TRISS-D) for predicting disability in acute trauma patients. <br><br>METHODS: We  used data collected by emergency medical services and entered into the Korea Centers  for Disease Control and Prevention severe trauma database. The TRISS-D was based on  age category (0-14, 15-54, ≥55 years), the Revised Trauma Score, and the Injury  Severity Score. The outcome measures were severe disability and worsening  disability. Worsening disability was defined as a lower Glasgow Outcome Scale score  at hospital discharge than before the traumatic incident. Two types of cases were  examined: those with penetrating or blunt injuries (group 1) and those with severe  head injuries (group 2). We assessed the discriminatory power of the TRISS-D by  calculating the area under a receiver operating characteristic curve (AUROC). <br><br>RESULTS: The database comprised 14,791 patients; overall, 3,757 (25%) had severe  disability and 6,018 (41%) had worsening disability. For severe disability, the  AUROC (95% confidence interval) for the TRISS-D was 0.948 (0.944-0.952) in group 1  and 0.950 (0.946-0.954) in group 2. The corresponding values for worsening  disability were 0.810 (0.803-0.817) and 0.816 (0.809-0.823), respectively. <br><br>CONCLUSION: The TRISS-D showed excellent discriminatory power for severe disability  and very good discriminatory power for worsening disability.<p /> <p>Language: en</p>",
language="en",
issn="2383-4625",
doi="10.15441/ceem.19.097",
url="http://dx.doi.org/10.15441/ceem.19.097"
}