Validation of age-specific survival prediction in pediatric patients with blunt trauma using trauma and injury severity score methodology: a ten-year Nationwide observational study.

BMC Emergency Medicine
Chiaki ToidaNaoto Morimura

Abstract

In-hospital mortality in trauma patients has decreased recently owing to improved trauma injury prevention systems. However, no study has evaluated the validity of the Trauma and Injury Severity Score (TRISS) in pediatric patients by a detailed classification of patients' age and injury severity in Japan. This retrospective nationwide study evaluated the validity of TRISS in predicting survival in Japanese pediatric patients with blunt trauma by age and injury severity. Data were obtained from the Japan Trauma Data Bank during 2009-2018. The outcomes were as follows: (1) patients' characteristics and mortality by age groups (neonates/infants aged 0 years, preschool children aged 1-5 years, schoolchildren aged 6-11 years, and adolescents aged 12-18 years), (2) validity of survival probability (Ps) assessed using the TRISS methodology by the four age groups and six Ps-interval groups (0.00-0.25, 0.26-0.50, 0.51-0.75, 0.76-0.90, 0.91-0.95, and 0.96-1.00), and (3) the observed/expected survivor ratio by age- and Ps-interval groups. The validity of TRISS was evaluated by the predictive ability of the TRISS method using the receiver operating characteristic (ROC) curves that present the sensitivity, specificity, positive predictive v...Continue Reading

References

May 1, 1989·The Journal of Trauma·H R ChampionM E Flanagan
Mar 1, 1993·The Journal of Trauma·M R EichelbergerL M Bowman
Jan 11, 2001·Journal of Pediatric Surgery·D A PotokaH R Ford
Nov 23, 2010·World Journal of Surgery·Shinji NakaharaAkio Kimura
Aug 1, 2012·The Journal of Trauma and Acute Care Surgery·Frederick B RogersMichael A Horst
Jan 15, 2013·Emergency Medicine Journal : EMJ·Canon King On ChanMoon-Tong Cheung
Sep 3, 2013·Journal of the American College of Surgeons·Kenichi HondoYasuhiro Otomo
Jul 20, 2014·British Journal of Anaesthesia·F LeckyT Coats
Jul 19, 2016·Acute Medicine & Surgery·Takaaki SuzukiTatsuki Uemura

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Methods Mentioned

BETA
ISS

Software Mentioned

AIS
TRISS
/ SE
STATA

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