比较 ISS、RTS 和 TRISS 仪器在预测创伤患者死亡率方面的灵敏度、特异性和准确性

Fenny Tianda, K. Kumboyono, Suryanto Suryanto
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摘要

本研究旨在比较三种创伤评分系统--伤害严重程度评分(ISS)、修订创伤评分(RTS)和创伤与伤害严重程度评分(TRISS)--在预测萨马林达Inche Abdoel Moeis地区综合医院急诊室创伤患者死亡率方面的有效性。创伤评估工具对于降低死亡率和提高患者治疗效果至关重要。ISS侧重于解剖因素,RTS则综合了生理参数,而TRISS则将两者结合起来进行综合评估。以往的研究表明,尽管它们的性能存在差异,但在预测死亡率方面都很有效。由于医院缺乏专门的创伤评估系统,因此这项研究显得尤为迫切。通过评估 ISS、RTS 和 TRISS 的性能,本研究旨在为临床实践提供依据,并加强创伤患者的管理,最终降低死亡率并改善急诊室的治疗效果。研究方法包括对创伤患者数据进行回顾性分析,包括人口统计学、损伤特征和预后。统计分析将比较三种评分系统在预测死亡率方面的表现,并对创伤护理方案和资源分配产生影响。研究结果将有助于在急诊室环境中进行循证决策,促进为创伤患者制定更准确的分诊和治疗策略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comparison of Sensitivity, Specificity, and Accuracy of ISS, RTS, and TRISS Instruments in Predicting Mortality of Trauma Patients
This study aims to compare the effectiveness of three trauma scoring systems—Injury Severity Score (ISS), Revised Trauma Score (RTS), and Trauma and Injury Severity Score (TRISS)—in predicting mortality among trauma patients at Inche Abdoel Moeis Regional General Hospital Samarinda's emergency room. Trauma assessment tools are crucial for reducing mortality rates and enhancing patient outcomes. While ISS focuses on anatomical factors, RTS integrates physiological parameters, and TRISS combines both for a comprehensive evaluation. Previous research suggests their effectiveness in mortality prediction, albeit with variations in performance. The absence of a dedicated trauma assessment system at the hospital underscores the urgency of this research. By evaluating the performance of ISS, RTS, and TRISS, this study aims to inform clinical practice and enhance trauma patient management, ultimately reducing mortality rates and improving outcomes in the emergency room setting. The study's methodology involves retrospective analysis of trauma patient data, including demographics, injury characteristics, and outcomes. Statistical analysis will compare the performance of the three scoring systems in predicting mortality with implications for trauma care protocols and resource allocation. Results will contribute to evidence-based decision-making in emergency room settings, facilitating more accurate triage and treatment strategies for trauma patients.
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