Hamidnezhad Marjan, Ansari Mozhgan, Afshari Saleh Tahura, Foji Samira
Department of Nursing and Midwifery, Sabzevar University of Medical Sciences, Sabzevar, Iran.
Department of Nursing and Midwifery, Iranian Research Center on Healthy Aging, Sabzevar University of Medical Sciences, Sabzevar, Iran.
Bull Emerg Trauma. 2025;13(2):76-82. doi: 10.30476/beat.2025.104632.1554.
This study aimed to compare the effectiveness of Trauma and Injury Severity Scores (TRISS) and Madras Head Injury Prognostic Scale (MHIPS) in assessing the prognosis of head trauma patients in the emergency department.
In this descriptive-analytical (predictive) study, 140 head trauma patients admitted to the emergency department of Shahid Beheshti Hospital (Sabzevar, Iran), were included from January to November 2023. Participants were selected via convenience sampling method and based on the inclusion criteria. Data were collected using a demographic questionnaire, the TRISS, and the MHIPS scale, and analyzed using Stata software (version 17).
The mean age of the injured patients was 39.72±19.86 years, and 102 (73%) patients were male. For intensive care unit (ICU) hospitalization prediction, the MHIPS tool showed a sensitivity of 92%, specificity of 86%, positive predictive value (PPV) of 60%, and negative predictive value (NPV) of 98%. For mortality prediction, the MHIPS tool had a sensitivity of 89%, specificity of 86%, PPV of 27%, and NPV of 99% in predicting death. The TRISS tool demonstrated a sensitivity of 81%, a specificity of 96%, a PPV of 81%, and an NPV of 95% for ICU hospitalization, and a sensitivity of 75%, specificity of 87%, PPV of 26%, and NPV of 98% for mortality. No significant difference was observed between TRISS and MHIPS in predicting the probability of ICU admission and mortality (=0.797).
Both TRISS and MHIPS demonstrated satisfactory predictive value for head trauma outcomes, with neither tool being superior to the other.
本研究旨在比较创伤和损伤严重程度评分（TRISS）与马德拉斯头部损伤预后量表（MHIPS）在评估急诊科头部创伤患者预后方面的有效性。
在这项描述性分析（预测性）研究中，纳入了2023年1月至11月在伊朗萨卜泽瓦尔市沙希德·贝赫什提医院急诊科收治的140例头部创伤患者。参与者通过便利抽样法并根据纳入标准进行选择。使用人口统计学问卷、TRISS和MHIPS量表收集数据，并使用Stata软件（版本17）进行分析。
受伤患者的平均年龄为39.72±19.86岁，102例（73%）患者为男性。对于重症监护病房（ICU）住院预测，MHIPS工具显示敏感性为92%，特异性为86%，阳性预测值（PPV）为60%，阴性预测值（NPV）为98%。对于死亡率预测，MHIPS工具在预测死亡方面的敏感性为89%，特异性为86%，PPV为27%，NPV为99%。TRISS工具在ICU住院方面的敏感性为81%，特异性为96%，PPV为81%，NPV为95%；在死亡率方面的敏感性为75%，特异性为87%，PPV为26%，NPV为98%。在预测ICU入院概率和死亡率方面，TRISS和MHIPS之间未观察到显著差异（=0.797）。
TRISS和MHIPS在预测头部创伤结果方面均显示出令人满意的预测价值，两种工具均不优于另一种。
