Török Á, Bancu Ş, Neagoe R, Mureşan M, Kántor T, Suciu A, Vas K E, Nagy Ö
Chirurgia (Bucur). 2014 Jan-Feb;109(1):44-7.
Trauma is the principal cause of mortality among the population under 40 years. The aim of our study was to compare predictive trauma scores and demonstrate their utility in the evaluation of the quality of care in polytrauma.
A retrospective study was performed between 2000-2011 including polytrauma patients with abdominal lesions and pelvic fracture who under went emergency laparotomy. We calculated ISS, GCS, RTS,TRISS, ASCOT trauma scores and W score for evaluation of treatment quality.
We obtained the necessary data to calculate the predictive scores in 38 cases. Comparing the scores of the survivals and non-survivals we noted the following regarding mortality predictive scores: GCS 13.74 vs. 6.13 (p 0.0001),ISS 28.52 vs. 35 (p=0.0169), RTS 6.96 vs. 3.07 (p 0.0001),TRISS 84.67% vs. 28.7% (p 0.0001), ASCOT 10.34% vs.64.32% (p 0.0001). The W score in TRISS and ASCOT methodology was -2.05 (p=0.7997) and -7.81 (p=0.336),respectively. There was no statistically significant difference between actual and predicted mortality, the former being 39.47%.
We did not observe differences between the two methodologies TRISS and ASCOT in mortality prediction (p=0.5401). Both of them can be used to predict polytrauma patient evolution. The W score is useful in treatment quality assessment.
创伤是40岁以下人群死亡的主要原因。我们研究的目的是比较创伤预测评分，并证明其在多发伤护理质量评估中的效用。
进行了一项回顾性研究，时间跨度为2000年至2011年，纳入了接受急诊剖腹手术的腹部损伤和骨盆骨折的多发伤患者。我们计算了损伤严重度评分（ISS）、格拉斯哥昏迷评分（GCS）、创伤评分（RTS）、创伤和损伤严重度评分（TRISS）、创伤严重度特征评分（ASCOT）以及用于评估治疗质量的W评分。
我们获得了38例病例计算预测评分所需的数据。比较存活者和非存活者的评分，我们发现关于死亡预测评分有以下情况：GCS分别为13.74和6.13（p = 0.0001），ISS分别为28.52和35（p = 0.0169），RTS分别为6.96和3.07（p = 0.0001），TRISS分别为84.67%和28.7%（p = 0.0001），ASCOT分别为10.34%和64.32%（p = 0.0001）。TRISS和ASCOT方法中的W评分分别为-2.05（p = 0.7997）和-7.81（p = 0.336）。实际死亡率和预测死亡率之间无统计学显著差异，前者为39.47%。
我们未观察到TRISS和ASCOT这两种方法在死亡率预测方面存在差异（p = 0.5401）。它们均可用于预测多发伤患者的病情发展。W评分在治疗质量评估中有用。
