新创伤和损伤严重程度评分（NTRISS）在生存预测中的作用。
The role of the New Trauma and Injury Severity Score (NTRISS) for survival prediction.
作者信息
Domingues Cristiane de Alencar, de Sousa Regina Marcia Cardoso, Nogueira Lilia de Souza, Poggetti Renato Sérgio, Fontes Belchor, Muñoz Daniele
机构信息
Adult Health Care Post-Graduation Program, School of Nursing, University of São Paulo, São Paulo, SP, Brazil.
出版信息
Rev Esc Enferm USP. 2011 Dec;45(6):1353-8. doi: 10.1590/s0080-62342011000600011.
The objective of this study was to verify if replacing the Injury Severity Score (ISS) by the New Injury Severity Score (NISS) in the original Trauma and Injury Severity Score (TRISS) form would improve the survival rate estimation. This retrospective study was performed in a level I trauma center during one year. ROC curve was used to identify the best indicator (TRISS or NTRISS) for survival probability prediction. Participants were 533 victims, with a mean age of 38±16 years. There was predominance of motor vehicle accidents (61.9%). External injuries were more frequent (63.0%), followed by head/neck injuries (55.5%). Survival rate was 76.9%. There is predominance of ISS scores ranging from 9-15 (40.0%), and NISS scores ranging from 16-24 (25.5%). Survival probability equal to or greater than 75.0% was obtained for 83.4% of the victims according to TRISS, and for 78.4% according to NTRISS. The new version (NTRISS) is better than TRISS for survival prediction in trauma patients.
本研究的目的是验证在原始创伤和损伤严重程度评分（TRISS）表中用新损伤严重程度评分（NISS）替代损伤严重程度评分（ISS）是否会改善生存率估计。这项回顾性研究在一家一级创伤中心进行了一年。采用ROC曲线来确定用于预测生存概率的最佳指标（TRISS或NTRISS）。研究对象为533名受害者，平均年龄为38±16岁。机动车事故占主导（61.9%）。外伤更为常见（63.0%），其次是头部/颈部损伤（55.5%）。生存率为76.9%。ISS评分在9 - 15分的占主导（40.0%），NISS评分在16 - 24分的占主导（25.5%）。根据TRISS，83.4%的受害者生存概率等于或大于75.0%，根据NTRISS这一比例为78.4%。新版本（NTRISS）在创伤患者生存预测方面优于TRISS。
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