Department of Anesthesiology, Keck School of Medicine of the University of Southern California, Los Angeles, CA, USA.
Department of Surgery, University of California, Irvine, Orange, CA, USA.
Am J Surg. 2022 Jul;224(1 Pt A):64-68. doi: 10.1016/j.amjsurg.2022.01.023. Epub 2022 Jan 22.
Existing chest trauma scoring tools are often only applicable to patients with chest trauma. We sought to develop a novel Trauma Induced Pulmonary Event (TIPE) score to predict the risk of developing pulmonary complications in all adult trauma patients.
Multiple logistic regression models were created using the 2017 Trauma Quality Improvement Program (TQIP) to identify independent predictors of pulmonary complications in trauma patients. The weighted average and relative impact of each independent predictor was used to derive a TIPE score. We then validated the score using area under the receiver operating curve (AROC).
A total of 22 independent predictors of pulmonary complications were identified. The TIPE score was derived with scores ranging from 0 to 43. Injury accounted for 74% of the total score while comorbidities and demographics made up 21% and 5%, respectively. The most important individual predictors were injuries to the spinal cord and bile ducts (both 4 points). The AROC for this was 0.844.
TIPE is a novel scoring tool to help predict pulmonary complications in all trauma patients.
现有的胸部创伤评分工具通常仅适用于胸部创伤患者。我们试图开发一种新的创伤诱导性肺事件（TIPE）评分，以预测所有成年创伤患者发生肺部并发症的风险。
使用 2017 年创伤质量改进计划（TQIP）中的多项逻辑回归模型，确定创伤患者肺部并发症的独立预测因素。使用每个独立预测因素的加权平均值和相对影响来推导 TIPE 评分。然后使用接收器操作曲线下的面积（AROC）验证评分。
确定了 22 个肺部并发症的独立预测因素。TIPE 评分的得分为 0 至 43 分。损伤占总评分的 74%，而合并症和人口统计学因素分别占 21%和 5%。最重要的个体预测因素是脊髓和胆管损伤（各 4 分）。其 AROC 为 0.844。
TIPE 是一种新的评分工具，可帮助预测所有创伤患者的肺部并发症。
