@article{ref1,
title="Comparison of nine trauma scoring systems in prediction of inhospital outcomes of pediatric trauma patients: a multicenter study",
journal="Scientific reports",
year="2024",
author="Khavandegar, Armin and Salamati, Payman and Zafarghandi, Mohammadreza and Rahimi-Movaghar, Vafa and Sharif-Alhoseini, Mahdi and Fakharian, Esmaeil and Saeed-Banadaky, Seyed Houssein and Hoseinpour, Vahid and Sadeghian, Farideh and Nasr Isfahani, Mehdi and Rahmanian, Vahid and Ghadiphasha, Amir and Pourmasjedi, Sobhan and Piri, Seyed Mohammad and Mirzamohamadi, Sara and Hassan Zadeh Tabatabaei, Mahgol Sadat and Naghdi, Khatereh and Baigi, Vali",
volume="14",
number="1",
pages="e7646-e7646",
abstract="Hereby, we aimed to comprehensively compare different scoring systems for pediatric trauma and their ability to predict in-hospital mortality and intensive care unit (ICU) admission. The current registry-based multicenter study encompassed a comprehensive dataset of 6709 pediatric trauma patients aged ≤ 18 years from July 2016 to September 2023. To ascertain the predictive efficacy of the scoring systems, the area under the receiver operating characteristic curve (AUC) was calculated. A total of 720 individuals (10.7%) required admission to the ICU. The mortality rate was 1.1% (n = 72). The most predictive scoring system for in-hospital mortality was the adjusted trauma and injury severity score (aTRISS) (AUC = 0.982), followed by trauma and injury severity score (TRISS) (AUC = 0.980), new trauma and injury severity score (NTRISS) (AUC = 0.972), Glasgow coma scale (GCS) (AUC = 0.9546), revised trauma score (RTS) (AUC = 0.944), pre-hospital index (PHI) (AUC = 0.936), injury severity score (ISS) (AUC = 0.901), new injury severity score (NISS) (AUC = 0.900), and abbreviated injury scale (AIS) (AUC = 0.734). Given the predictive performance of the scoring systems for ICU admission, NTRISS had the highest predictive performance (AUC = 0.837), followed by aTRISS (AUC = 0.836), TRISS (AUC = 0.823), ISS (AUC = 0.807), NISS (AUC = 0.805), GCS (AUC = 0.735), RTS (AUC = 0.698), PHI (AUC = 0.662), and AIS (AUC = 0.651). In the present study, we concluded the superiority of the TRISS and its two derived counterparts, aTRISS and NTRISS, compared to other scoring systems, to efficiently discerning individuals who possess a heightened susceptibility to unfavorable consequences. The significance of these findings underscores the necessity of incorporating these metrics into the realm of clinical practice.<p /> <p>Language: en</p>",
language="en",
issn="2045-2322",
doi="10.1038/s41598-024-58373-4",
url="http://dx.doi.org/10.1038/s41598-024-58373-4"
}