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创伤严重度评分与TRISS中的修正创伤严重度评分用于预测钝性创伤儿童的预后

Trauma score versus revised trauma score in TRISS to predict outcome in children with blunt trauma.

作者信息

Eichelberger M R, Bowman L M, Sacco W J, Mangubat E A, Lowenstein A D, Gotschall C S

机构信息

Trauma Service, Children's Hospital National Medical Center, Washington, DC 20010.

出版信息

Ann Emerg Med. 1989 Sep;18(9):939-42. doi: 10.1016/s0196-0644(89)80457-3.

Abstract

We analyzed the accuracy of TRISS and a revised TRISS to predict survival outcome in a group of 1,562 consecutive children less than 15 years old admitted with blunt trauma to a pediatric trauma center. TRISS is an index that computes a probability of survival for each patient based on Trauma Score, Injury Severity Score, and age. R-TRISS uses the Revised Trauma Score instead of the Trauma Score. We used a statistical method based on TRISS and R-TRISS to compare patient outcomes from the pediatric study group with those of an adult baseline control group from the Major Trauma Outcome Study. Both TRISS and R-TRISS have the capability to accurately quantify survival outcome for children with blunt trauma; there was no statistical difference between the two methods to do so.

摘要

我们分析了创伤和损伤严重度评分(TRISS)以及修订后的TRISS在预测1562名连续入住小儿创伤中心的15岁以下钝性创伤患儿生存结局方面的准确性。TRISS是一个基于创伤评分、损伤严重度评分和年龄来计算每位患者生存概率的指标。修订后的TRISS(R - TRISS)使用修订创伤评分而非创伤评分。我们采用基于TRISS和R - TRISS的统计方法,将小儿研究组患者的结局与来自重大创伤结局研究的成人基线对照组的结局进行比较。TRISS和R - TRISS都有能力准确量化钝性创伤患儿的生存结局;在这方面两种方法之间没有统计学差异。

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