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Journal of Nursing ›› 2020, Vol. 27 ›› Issue (8): 34-37.doi: 10.16460/j.issn1008-9969.2020.08.034

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Comparison of Three Trauma Severity Scoring Systems in Predicting In-hospital Death in Elderly Trauma Patients

YU Hai-tao1, SUN Lin2, HAN Xiao-qin2, LIU Yun2   

  1. 1. Jinling Hospital, Medical School of Nanjing University, Nanjing 210002,China;
    2. General Hospital of Eastern Theater Command, Nanjing 210002, China
  • Received:2019-11-15 Online:2020-04-25 Published:2020-07-14

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Abstract: Objective To compare the predictive value of Trauma Injury Severity Score (TRISS), Geriatric Trauma Outcome Score (GTOS) and Injury Severe Score (ISS) in the risk of death in hospital of elderly trauma patients. Methods The clinical data of 523 elderly trauma patients admitted to emergency department from January 2011 to September 2019 were analyzed retrospectively. Demographic information, project information involved in various scoring systems and in-hospital death information were collected. TRISS, GTOS and ISS were used to predict the occurrence of in-hospital deaths. By calculating the area under curve（AUC）, the predictive value of the three scoring systems for the occurrence of in-hospital deaths in elderly trauma patients was compared. Results Among the three scoring systems, the AUC of TRISS was the highest (0.914),with the highest Jordon index (0.716) and specificity (0.859), relatively balanced,. GTOS has the highest sensitivity (0.971), but the lowest specificity (0.609). Conclusion TRISS is the most effective in predicting the risk of death in hospital in elderly trauma patients for it is comprehensive and suitable for the evaluation of elderly trauma patients admitted to the emergency department in our country.

Key words: elderly, trauma, trauma score, prognosis, mortality rate

CLC Number: 

  • R473.59
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