[Comparison of the performance of three prehospital trauma scores in evaluation of injury severity among Lushan earthquake victims].
Publication/Presentation Date
8-1-2014
Abstract
OBJECTIVE: To investigate the performance of revised trauma score (RTS), CRAMS score (circulation, respiration, abdomen, motor and speech) and prehospital index (PHI) on evaluation of injury severity in earthquake victims.
METHODS: Data of victims admitted to West China Hospital of Sichuan University during the Lushan earthquake from April 20th, 2013, to April 27th were retrospectively analyzed. The clinical information at admission was recorded, and the injury severity score (ISS), RTS, CRAMS and PHI were calculated. The optimal cut-off values were looked for, the comparability between the three scores and ISS score were figured out by receiver operator characteristic curve (ROC curve), and the correlation between ISS and three scores was analyzed by linear regression analysis.
RESULTS: There was a total of 263 victims included in the study. ISS ≥ 16 was found in 86 cases, and ISSvictims, and there were significant statistic differences in male ratio (67.4% vs. 50.8%, χ² = 6.477, P=0.011), RTS score [7.55 (0.29) vs. 7.84 (0), U=6 825, P=0.013] and CRAMS scores [8 (1) vs. 9 (1), U=3 977, P=0.000] between two groups. It was showed by ROC curve analysis that the area under the ROC curve (AUC) of RTS, CRAMS and PHI was 0.547 (P=0.220), 0.734 (P=0.000) and 0.544 (P=0.250), and the Youden indexes of the three scores were 0.093, 0.443, and 0.119, respectively. Moreover, the best cut-off values of them were 4.9, 9.5 and 3.5. Linear regression analysis showed that RTS and CRAMS score showed negative correlation with ISS score (r₁=-0.139, P₁=0.024; r₂=-0.413, P₂=0.000), while PHI showed no relationship with it (r=0.071, P=0.250).
CONCLUSIONS: Of these three scoring systems, CRAMS has the best correlation with ISS, and it can be used in the prompt assessment of trauma severity in earthquake victims.
Volume
26
Issue
8
First Page
581
Last Page
584
ISSN
2095-4352
Published In/Presented At
He, Y., Hu, H., Jiang, Y., Hu, J., Li, X., Yao, Y., Zhu, D., Liu, B., Peng, L., Wang, J., & Cao, Y. (2014). Zhonghua wei zhong bing ji jiu yi xue, 26(8), 581–584. https://doi.org/10.3760/cma.j.issn.2095-4352.2014.08.012
Disciplines
Medicine and Health Sciences
PubMedID
25124909
Department(s)
Department of Medicine
Document Type
Article