Emergency. 2017; 5 (1): e31 O RIGINAL R ESEARCH

Worthing Physiological Score vs Revised Trauma Score in Outcome Prediction of Trauma patients; a Comparative Study Babak Nakhjavan-Shahraki1 , Mahmoud Yousefifard2 , Mohammad Javad Hajighanbari3 , Parviz Karimi4 , Masoud Baikpour5 , Jalaledin Mirzay Razaz6 , Mehdi Yaseri7 , Kavous Shahsavari8 , Fatemeh Mahdizadeh9 , Mostafa Hosseini7∗ 1. Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran. 2. Physiology Research Center and Department of Physiology, Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran. 3. Department of Emergency Medicine, Hafte Tir Hospital, Iran University of Medical Sciences, Tehran, Iran. 4. Department of Emergency Medicine, Robatkarim Hospital, Iran University of Medical Sciences, Tehran, Iran. 5. Department of Medicine, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran. 6. Department of Community Nutrition, Faculty of Nutrition and Food Technology, Shahid Beheshti University of Medical Sciences, Tehran, Iran. 7. Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran. 8. Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran. 9. Department of Emergency Medicine, Ilan University of Medical Sciences, Ilam, Iran.

Received: October 2016; Accepted: November 2016; Published online: 11 January 2017

Abstract:

Introduction: Awareness about the outcome of trauma patients in the emergency department (ED) has become a topic of interest. Accordingly, the present study aimed to compare the rapid trauma score (RTS) and worthing physiological scoring system (WPSS) in predicting in-hospital mortality and poor outcome of trauma patients. Methods: In this comparative study trauma patients brought to five EDs in different cities of Iran during the year 2016 were included. After data collection, discriminatory power and calibration of the models were assessed and compared using STATA 11. Results: 2148 patients with the mean age of 39.50±17.27 years were included (75.56% males). The AUC of RTS and WPSS models for prediction of mortality were 0.86 (95% CI: 0.82-0.90) and 0.91 (95% CI: 0.87-0.94), respectively (p=0.006). RTS had a sensitivity of 71.54 (95% CI: 62.59-79.13) and a specificity of 97.38 (95% CI: 96.56-98.01) in prediction of mortality. These measures for the WPSS were 87.80 (95% CI: 80.38-92.78) and 83.45 (95% CI: 81.75-85.04), respectively. The AUC of RTS and WPSS in predicting poor outcome were 0.81 (95% CI: 0.77-0.85) and 0.89 (95% CI: 0.85-0.92), respectively (p

Worthing Physiological Score vs Revised Trauma Score in Outcome Prediction of Trauma patients; a Comparative Study.

Awareness about the outcome of trauma patients in the emergency department (ED) has become a topic of interest. Accordingly, the present study aimed t...
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