Ali Subas, Bhatti Talha, Rimsha Shehzadi, Hashmi Rabia Masroor, Khan Sumayah, Rind Waqas, Mussab Raja Muhammad
General Surgery, Civil Hospital Karachi, Karachi, PAK.
Neurosurgery, Civil Hospital Karachi, Karachi, PAK.
Cureus. 2024 Dec 26;16(12):e76421. doi: 10.7759/cureus.76421. eCollection 2024 Dec.
Background Trauma is a major public health issue, causing disease and death globally. Injuries can range from mild to severe, requiring different levels of medical attention from a skilled team. Objectives To predict the accuracy of the new trauma score (NTS) and the revised trauma score (RTS) for predicting the mortality of patients presenting in the emergency department of a tertiary care hospital in Karachi. Methods A descriptive cross-sectional study was conducted in the Emergency Department of Civil Hospital Karachi (CHK), Pakistan, for six months and included 366 patients. Patients with blunt, traumatic, crush, or penetration injuries were included in this study. All patients were given a score according to the NTS and RTS. Results The median age of the study's participants was 31.90 ± 7.46 years. A mortality rate of 4.64% was noted. The NTS demonstrated a diagnostic accuracy of 97.5%, a sensitivity of 88.2%, a specificity of 98%, a positive predictive value (PPV) of 68.2%, and a negative predictive value (NPV) of 99.4% for predicting mortality. The RTS exhibited a diagnostic accuracy of 99.1%, a sensitivity of 88.2%, a specificity of 99.7%, a PPV of 93.8%, and an NPV of 99.4%. When the NTS and RTS were combined, they exhibited a diagnostic accuracy of 97.5%, a sensitivity of 82.5%, a specificity of 98%, a PPV of 68.2%, and an NPV of 99.4% for predicting mortality. Conclusion As a result, we conclude that both RTS and NTS were equally useful in predicting hospitalization, morbidity, the need for mechanical ventilation, and mortality.
创伤是一个重大的公共卫生问题，在全球范围内导致疾病和死亡。损伤程度从轻度到重度不等，需要专业团队提供不同级别的医疗护理。目的：预测新创伤评分（NTS）和修订创伤评分（RTS）对预测卡拉奇一家三级护理医院急诊科患者死亡率的准确性。方法：在巴基斯坦卡拉奇市民医院（CHK）急诊科进行了一项为期六个月的描述性横断面研究，纳入366例患者。本研究纳入了钝性、创伤性、挤压性或穿透性损伤患者。所有患者均根据NTS和RTS进行评分。结果：研究参与者的中位年龄为31.90±7.46岁。观察到死亡率为4.64%。NTS在预测死亡率方面的诊断准确性为97.5%，敏感性为88.2%，特异性为98%，阳性预测值（PPV）为68.2%，阴性预测值（NPV）为99.4%。RTS的诊断准确性为99.1%，敏感性为88.2%，特异性为99.7%，PPV为93.8%，NPV为99.4%。当NTS和RTS联合使用时，它们在预测死亡率方面的诊断准确性为97.5%，敏感性为82.5%，特异性为98%，PPV为68.2%，NPV为99.4%。结论：因此，我们得出结论，RTS和NTS在预测住院、发病率、机械通气需求和死亡率方面同样有用。
