Usefulness of the BIG Score in Predicting Massive Transfusion and In-Hospital Death in Adult Trauma Patients.

IF 1.2 4区 医学 Q3 EMERGENCY MEDICINE
Emergency Medicine International Pub Date : 2023-10-17 eCollection Date: 2023-01-01 DOI:10.1155/2023/5162050
Sejun Park, Il Jae Wang, Seok-Ran Yeom, Sung-Wook Park, Suck Ju Cho, Wook Tae Yang, Wonwoong Tae, Up Huh, Chanhee Song, Yeaeun Kim, Jong-Hwan Park, Youngmo Cho
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引用次数: 0

Abstract

The base deficit (B), international normalized ratio (I), and Glasgow coma scale (GCS) (BIG) score is useful in predicting mortality in pediatric trauma patients; however, studies on the use of BIG score in adult patients with trauma are sparse. In addition, studies on the correlation between the BIG score and massive transfusion (MT) have not yet been conducted. This study aimed to evaluate the predictive value of BIG score for mortality and the need for MT in adult trauma patients. This retrospective study used data collected between 2016 and 2020 at our hospital's trauma center and registry. The predictive value of BIG score was compared with that of the Injury Severity Score (ISS) and Revised Trauma Score (RTS). Logistic regression analysis was carried out to assess whether BIG score was an independent risk factor. Receiver operating characteristic (ROC) curve analysis was performed, and predictive values were evaluated by measuring the area under the ROC curve (AUROC). In total, 5,605 patients were included in this study. In logistic regression analysis, BIG score was independently associated with in-hospital mortality (odds ratio (OR): 1.1859; 95% confidence interval (CI): 1.1636-1.2086) and MT (OR: 1.0802; 95% CI: 1.0609-1.0999). The AUROCs of BIG score for in-hospital mortality and MT were 0.852 (0.842-0.861) and 0.848 (0.838-0.857), respectively. Contrastingly, the AUROCs of ISS and RTS for in-hospital mortality were 0.795 (0.784-0.805) and 0.859 (0.850-0.868), respectively. Moreover, AUROCs of ISS and RTS for MT were 0.812 (0.802-0.822) and 0.838 (0.828-0.848), respectively. The predictive value of BIG score for mortality and MT was significantly higher than that of the ISS. The BIG score also showed a better AUROC for predicting in-hospital mortality compared with RTS. In conclusion, the BIG score is a useful indicator for predicting mortality and the need for MT in adult trauma patients.

Abstract Image

Abstract Image

BIG评分在预测成人创伤患者大量输血和住院死亡中的作用。
基础缺陷(B)、国际标准化比率(I)和格拉斯哥昏迷量表(GCS)(BIG)评分可用于预测儿童创伤患者的死亡率;然而,关于在成年创伤患者中使用BIG评分的研究很少。此外,尚未对BIG评分与大量输血(MT)之间的相关性进行研究。本研究旨在评估BIG评分对成年创伤患者死亡率和MT需求的预测价值。这项回顾性研究使用了2016年至2020年间在我们医院创伤中心和登记处收集的数据。将BIG评分的预测值与损伤严重程度评分(ISS)和修订创伤评分(RTS)的预测值进行比较。采用Logistic回归分析来评估BIG评分是否是一个独立的危险因素。进行受试者操作特征(ROC)曲线分析,并通过测量ROC曲线下面积(AUROC)来评估预测值。本研究共纳入5605名患者。在逻辑回归分析中,BIG评分与住院死亡率独立相关(比值比(OR):1.1859;95%可信区间(CI):1.1636-1.2086)和MT(OR:1.0802;95%可信区间:1.0609-1.00999)。BIG评分对住院死亡率和MT的AUROC分别为0.852(0.842-0.861)和0.848(0.838-0.857)。相比之下,ISS和RTS的住院死亡率AUROC分别为0.795(0.784-0.805)和0.859(0.850-0.868)。此外,ISS和RTS对MT的AUROC分别为0.812(0.802-0.822)和0.838(0.828-0.848)。BIG评分对死亡率和MT的预测值显著高于ISS评分。与RTS相比,BIG评分在预测住院死亡率方面也显示出更好的AUROC。总之,BIG评分是预测成年创伤患者死亡率和MT需求的有用指标。
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来源期刊
Emergency Medicine International
Emergency Medicine International EMERGENCY MEDICINE-
CiteScore
0.10
自引率
0.00%
发文量
187
审稿时长
17 weeks
期刊介绍: Emergency Medicine International is a peer-reviewed, Open Access journal that provides a forum for doctors, nurses, paramedics and ambulance staff. The journal publishes original research articles, review articles, and clinical studies related to prehospital care, disaster preparedness and response, acute medical and paediatric emergencies, critical care, sports medicine, wound care, and toxicology.
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