TY  - JOUR
PY  - 2016//
TI  - Comparison of Revised Trauma Score, Injury Severity Score and Trauma and Injury Severity Score for mortality prediction in elderly trauma patients
JO  - Ulusal travma ve acil cerrahi dergisi
A1  - Yousefzadeh-Chabok, Shahrokh
A1  - Hosseinpour, Marieh
A1  - Kouchakinejad-Eramsadati, Leila
A1  - Ranjbar, Fatemeh
A1  - Malekpouri, Reza
A1  - Razzaghi, Alireza
A1  - Mohtasham-Amiri, Zahra
SP  - 536
EP  - 540
VL  - 22
IS  - 6
N2  - BACKGROUND: Trauma is the fifth leading cause of death in patients 65 years and older. This study is a comparison of results of Revised Trauma Score (RTS), Injury Severity Score (ISS), and Trauma and Injury Severity Score (TRISS) in prediction of mortality in cases of geriatric trauma. <br><br>METHODS: This is a cross-sectional study of records of 352 elderly trauma patients who were admitted to Pour-Sina Hospital in Rasht between 2010 and 2011. Injury scoring systems were compared in terms of specificity, sensitivity, and cut-off points using receiver operating characteristic curve of patient prognosis. <br><br>RESULTS: Mean age of patients was 71.5 years. Most common mechanism of injury was traffic accident (53.7%). Of the total, 13.9% of patients died. Mean ISS was higher for patients who did not survive. Mean of TRISS and RTS scores in elderly survivors was higher than non-survivors and difference in all 3 scores was statistically significant (p<0.001). Best cut-off points for predicting mortality in elderly trauma patients in RTS, ISS, and TRISS systems were ≤6, ≥13.5, and ≤2, with sensitivity of 99%, 84%, and 95% and specificity of 62%, 62%, and 72%, respectively. <br><br>CONCLUSION: TRISS was the strongest predictor of mortality in elderly trauma patients as result of combination of both anatomical and physiological parameters.<p />  <p>Language: en</p>
LA  - en
SN  - 1306-696X
UR  - http://dx.doi.org/
ID  - ref1
ER  -