| خلاصه مقاله | Introduction:
Trauma is a leading cause of mortality worldwide, making effective
triage and outcome prediction essential. Various scoring systems,
including Injury Severity Score (ISS), New Injury Severity Score
(NISS), and Trauma and Injury Severity Score (TRISS) are used to
predict patient outcomes. This study aims to evaluate the correlation
between ISS, NISS, and TRISS in predicting mortality in trauma
patients at Imam Reza Hospital.
Methods:
This descriptive cross-sectional study included 495 multiple trauma
patients admitted to emergency department of Imam Reza Hospital,
Tabriz, Iran. ISS, NISS, and TRISS were calculated for each patient.
The sensitivity and specificity of each scoring system were assessed
using ROC curves.
Results:
The mean age of patients was 36 ± 20.19 years, with a median age of
36 years. Among the patients, 62.2% were male, and 37.8% were
156
female. The discharge rate was 54.1%, and the mortality rate was 3.8%.
The ROC analysis showed that ISS had a sensitivity of 34.55% and
specificity of 100% at a cut-off point of 23. NISS had a sensitivity of
32.76% and specificity of 100% at a cut-off point of 22.5. TRISS had
a sensitivity of 94.12% and specificity of 99.37% at a cut-off point of
28.55.
Conclusion:
While all three scoring systems demonstrated good predictive power,
TRISS had the highest sensitivity for predicting mortality. However,
due to the ease of calculation and adequate predictive power, NISS
may be a better option for predicting outcomes in trauma patients |