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Prediction of mortality among critically ill trauma patients, using physiologic scores (acute physiology and chronic health evaluation score II and revised trauma score) versus anatomic scores (injury severity score)

Thesis

Last updated: 06 Feb 2023

Subjects

-

Tags

Critical Care Medicine

Advisors

Hamed, Gamal , Aumar, Emad-El-Din , Abdel-Bari, Akram M.

Authors

Sayed, Shams-El-Din Ahmad

Accessioned

2017-07-12 06:42:03

Available

2017-07-12 06:42:03

type

M.Sc. Thesis

Abstract

Mortality predictions calculated using scoring scales are often not accurate in populations other than those in which the scales were developed because of differences in case-mix. Scoring systems should be validated to be used in a different population. Probabilities of ICU death for critically ill trauma patients were calculated using the scores ISS, NISS, RTS, APACHE II, ASCOT, TRISS, TRNISS. The scores were assessed for discrimination using receiver operator characteristics area under the curve ROC AUC and for goodness-of-fit using Hosmer-Lemeshow test. Both TRISS and ASCOT performed better than the anatomic and physiologic scores as regard calibration and discrimination. The replacement of ISS with NISS in TRISS (TRNISS) resulted in better discrimination but poor calibration. We recommend the combination of APS and NISS to be applied on a larger scale and validated.

Issued

1 Jan 2010

DOI

http://dx.doi.org/10.21473/iknito-space/37468

Details

Type

Thesis

Created At

28 Jan 2023