Marjan Hamidnezhad, Mozhgan Ansari, Tahura Afshari Saleh, Samira Foji
{"title":"伊朗Sabzevar Shahid Beheshti医院急诊科“创伤及损伤严重程度评分”与“马德拉斯颅脑损伤预后量表”评估颅脑损伤预后的比较分析","authors":"Marjan Hamidnezhad, Mozhgan Ansari, Tahura Afshari Saleh, Samira Foji","doi":"10.30476/beat.2025.104632.1554","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to compare the effectiveness of Trauma and Injury Severity Scores (TRISS) and Madras Head Injury Prognostic Scale (MHIPS) in assessing the prognosis of head trauma patients in the emergency department.</p><p><strong>Methods: </strong>In this descriptive-analytical (predictive) study, 140 head trauma patients admitted to the emergency department of Shahid Beheshti Hospital (Sabzevar, Iran), were included from January to November 2023. Participants were selected via convenience sampling method and based on the inclusion criteria. Data were collected using a demographic questionnaire, the TRISS, and the MHIPS scale, and analyzed using Stata software (version 17).</p><p><strong>Results: </strong>The mean age of the injured patients was 39.72±19.86 years, and 102 (73%) patients were male. For intensive care unit (ICU) hospitalization prediction, the MHIPS tool showed a sensitivity of 92%, specificity of 86%, positive predictive value (PPV) of 60%, and negative predictive value (NPV) of 98%. For mortality prediction, the MHIPS tool had a sensitivity of 89%, specificity of 86%, PPV of 27%, and NPV of 99% in predicting death. The TRISS tool demonstrated a sensitivity of 81%, a specificity of 96%, a PPV of 81%, and an NPV of 95% for ICU hospitalization, and a sensitivity of 75%, specificity of 87%, PPV of 26%, and NPV of 98% for mortality. No significant difference was observed between TRISS and MHIPS in predicting the probability of ICU admission and mortality (<i>p</i>=0.797).</p><p><strong>Conclusion: </strong>Both TRISS and MHIPS demonstrated satisfactory predictive value for head trauma outcomes, with neither tool being superior to the other.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"13 2","pages":"76-82"},"PeriodicalIF":0.0000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12275172/pdf/","citationCount":"0","resultStr":"{\"title\":\"Comparative Analysis of \\\"Trauma and Injury Severity Scores\\\" and \\\"Madras Head Injury Prognostic Scale\\\" in Assessing Head Trauma Prognosis in the Emergency Department of Shahid Beheshti Hospital, Sabzevar, Iran.\",\"authors\":\"Marjan Hamidnezhad, Mozhgan Ansari, Tahura Afshari Saleh, Samira Foji\",\"doi\":\"10.30476/beat.2025.104632.1554\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>This study aimed to compare the effectiveness of Trauma and Injury Severity Scores (TRISS) and Madras Head Injury Prognostic Scale (MHIPS) in assessing the prognosis of head trauma patients in the emergency department.</p><p><strong>Methods: </strong>In this descriptive-analytical (predictive) study, 140 head trauma patients admitted to the emergency department of Shahid Beheshti Hospital (Sabzevar, Iran), were included from January to November 2023. Participants were selected via convenience sampling method and based on the inclusion criteria. Data were collected using a demographic questionnaire, the TRISS, and the MHIPS scale, and analyzed using Stata software (version 17).</p><p><strong>Results: </strong>The mean age of the injured patients was 39.72±19.86 years, and 102 (73%) patients were male. For intensive care unit (ICU) hospitalization prediction, the MHIPS tool showed a sensitivity of 92%, specificity of 86%, positive predictive value (PPV) of 60%, and negative predictive value (NPV) of 98%. For mortality prediction, the MHIPS tool had a sensitivity of 89%, specificity of 86%, PPV of 27%, and NPV of 99% in predicting death. The TRISS tool demonstrated a sensitivity of 81%, a specificity of 96%, a PPV of 81%, and an NPV of 95% for ICU hospitalization, and a sensitivity of 75%, specificity of 87%, PPV of 26%, and NPV of 98% for mortality. No significant difference was observed between TRISS and MHIPS in predicting the probability of ICU admission and mortality (<i>p</i>=0.797).</p><p><strong>Conclusion: </strong>Both TRISS and MHIPS demonstrated satisfactory predictive value for head trauma outcomes, with neither tool being superior to the other.</p>\",\"PeriodicalId\":9333,\"journal\":{\"name\":\"Bulletin of emergency and trauma\",\"volume\":\"13 2\",\"pages\":\"76-82\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12275172/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Bulletin of emergency and trauma\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.30476/beat.2025.104632.1554\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Bulletin of emergency and trauma","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.30476/beat.2025.104632.1554","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Comparative Analysis of "Trauma and Injury Severity Scores" and "Madras Head Injury Prognostic Scale" in Assessing Head Trauma Prognosis in the Emergency Department of Shahid Beheshti Hospital, Sabzevar, Iran.
Objectives: This study aimed to compare the effectiveness of Trauma and Injury Severity Scores (TRISS) and Madras Head Injury Prognostic Scale (MHIPS) in assessing the prognosis of head trauma patients in the emergency department.
Methods: In this descriptive-analytical (predictive) study, 140 head trauma patients admitted to the emergency department of Shahid Beheshti Hospital (Sabzevar, Iran), were included from January to November 2023. Participants were selected via convenience sampling method and based on the inclusion criteria. Data were collected using a demographic questionnaire, the TRISS, and the MHIPS scale, and analyzed using Stata software (version 17).
Results: The mean age of the injured patients was 39.72±19.86 years, and 102 (73%) patients were male. For intensive care unit (ICU) hospitalization prediction, the MHIPS tool showed a sensitivity of 92%, specificity of 86%, positive predictive value (PPV) of 60%, and negative predictive value (NPV) of 98%. For mortality prediction, the MHIPS tool had a sensitivity of 89%, specificity of 86%, PPV of 27%, and NPV of 99% in predicting death. The TRISS tool demonstrated a sensitivity of 81%, a specificity of 96%, a PPV of 81%, and an NPV of 95% for ICU hospitalization, and a sensitivity of 75%, specificity of 87%, PPV of 26%, and NPV of 98% for mortality. No significant difference was observed between TRISS and MHIPS in predicting the probability of ICU admission and mortality (p=0.797).
Conclusion: Both TRISS and MHIPS demonstrated satisfactory predictive value for head trauma outcomes, with neither tool being superior to the other.
期刊介绍：
BEAT: Bulletin of Emergency And Trauma is an international, peer-reviewed, quarterly journal coping with original research contributing to the field of emergency medicine and trauma. BEAT is the official journal of the Trauma Research Center (TRC) of Shiraz University of Medical Sciences (SUMS), Hungarian Trauma Society (HTS) and Lusitanian Association for Trauma and Emergency Surgery (ALTEC/LATES) aiming to be a publication of international repute that serves as a medium for dissemination and exchange of scientific knowledge in the emergency medicine and trauma. The aim of BEAT is to publish original research focusing on practicing and training of emergency medicine and trauma to publish peer-reviewed articles of current international interest in the form of original articles, brief communications, reviews, case reports, clinical images, and letters.
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