TY  - JOUR
PY  - 2017//
TI  - Comparison of modified Kampala trauma score with trauma mortality prediction model and trauma-injury severity score: a National Trauma Data Bank Study
JO  - American journal of emergency medicine
A1  - Akay, Serhat
A1  - Ozturk, Ahmet Mucteba
A1  - Akay, Huriye
SP  - 1056
EP  - 1059
VL  - 35
IS  - 8
N2  - BACKGROUND: Mortality prediction of trauma patients relies on anatomical, physiological or combined scores. The purpose of this study is to compare the diagnostic accuracy of the modified Kampala Trauma Score (M-KTS) with the Trauma Mortality Prediction Model (TMPM), and Trauma-Injury Severity Score (TRISS) using data from a large dataset from a developed registry, the National Trauma Data Bank (NTDB). <br><br>METHODS: Using 2011 and 2012 data from NTDB, patient based trauma scores (M-KTS, TMPM, and TRISS) were calculated and predictive ability of M-KTS for mortality was compared with other trauma scores using receiver operating characteristics (ROC) curves. <br><br>RESULTS: A total of 841089 patients were included in the study. TRISS outperformed other scores (AUC=0.922, %95 CI 0.920-0.924) with M-KTS as the second best score (AUC=0.901, %95 CI 0.899-0.903) followed by TMPM (AUC=0.887, 95% CI 0.844-0.889). For blunt trauma, TRISS (AUC=0.917, 95% CI 0.915-0.919) performed better than M-KTS (AUC=0.891, %95 CI 0.889-0.893) and TMPM (AUC=0.874, 95% CI 0.871-0.877). For penetrating trauma, M-KTS (AUC=0.956, 95% CI 0.954-0.959) and TMPM (AUC=0.955, 95% CI 0.951-0.958) had similar performance after TRISS (AUC=0.969, 95% CI 0.967-0.971). <br><br>CONCLUSION: M-KTS performed worse than TRISS although its' main advantage is simple use in resource-limited settings.<br><br>Copyright © 2017. Published by Elsevier Inc.<p />  <p>Language: en</p>
LA  - en
SN  - 0735-6757
UR  - http://dx.doi.org/10.1016/j.ajem.2017.02.035
ID  - ref1
ER  -