Analysis on Effect of Using Hemoglobin-revised Trauma Score on Predicting the Prognosis of Emergency Trunk Injury within 28 Days_West China Medical Journal

Authors：

 JIANGYao-wen ¹ , HUHai ¹ , HEYa-rong ² , ZHUDan ² , PENGLi-yuan ² , HUJun-fei ² ,  CAOYu ¹

1. Department of Emergency, West China Hospital;
2. West China Medical School;Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

CAOYu, Email: dr.yu.cao@gmail.com

Keywords：

Hemoglobin-revised trauma score; Emergency trunk injury; Application value

DOI：

10.7507/1002-0179.20140310

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Objective To investigate the effect of using hemoglobin-revised trauma score (HB-RTS) on predicting mortality risk in trunk injury patients. Methods According to case control study rules, medical records of patients with trunk injury who were treated between July 2011 and October 2013, were collected. Patients were divided into two groups according to their survival prognosis within 28 days. The HB-RTS, revised trauma score (RTS), and injury severity score (ISS) of the two groups were calculated. The receiver operating characteristic (ROC) curve was drawn, and the area under the curve (AUC) and Youden's index were calculated. And then, we selected the optimal cutoff value using HB-RTS and RTS to predict the trunk injury patients' mortality and calculated their sensitivity, specificity, and accuracy. In the end, the correlation of ISS with HB-RTS and RTS using linear correlation analysis method was analyzed. Results Besides RTS, HB-RTS and ISS in the death group were statistically significant higher than that in the survival group. The AUC of HB-RTS and RTS of the two groups were 0.922 and 0.888, respectively. The sensitivity of HB-RTS and RTS were 91.5% and 83%; and the specificity of HB-RTS and RTS were 95.7% and 76.6%, respectively. The correlation of HB-RTS and ISS was -0.592, while the correlation of RTS and ISS was 0.585. Conclusion Compared to RTS, ROC of HB-RTS is enlarged, the specificity is increased, and the sensitivity is decreased. HB-RTS has stronger correlation with ISS than with RTS. The predictive effect of HB-RTS is higher than RTS in predicting mortality of trunk injury patients.

Citation： JIANGYao-wen, HUHai, HEYa-rong, ZHUDan, PENGLi-yuan, HUJun-fei, CAOYu. Analysis on Effect of Using Hemoglobin-revised Trauma Score on Predicting the Prognosis of Emergency Trunk Injury within 28 Days. West China Medical Journal, 2014, 29(6): 1015-1018. doi: 10.7507/1002-0179.20140310 Copy

1.	石应康. 胸部创伤的诊断治疗进展[J]. 中华创伤杂志, 1998, 14(2): 6-8.
2.	王正国. 地震灾害的特点及其所致创伤的救治[J]. 中华创伤杂志, 2008, 24(6): 401-404.
3.	Watts HF, Kerem Y, Kulstad EB. Evaluation of the revised trauma and injury severity scores in elderly trauma patients[J]. J Emerg Trauma Shock, 2012, 5(2): 131-134.
4.	Baxt WG, Berry CC, Epperson MD, et al. The failure of prehospital trauma predictionrules to classify trauma patients accurately[J]. Ann Emerg Med, 1989, 18(1): 1-8.
5.	林一丹, 杨晓妍, 石应康. 修正创伤评分在急诊躯干损伤救治中的应用与改良[J]. 中国胸心血管外科临床杂志, 2013, 20(2): 181-184.
6.	Teasdale G, Jennett B. Assessment of coma and impaired consciousness. A practical scale[J]. Lancet, 1974, 2(7872): 81-84.
7.	Senkowski CK, Mckenney MG. Trauma scoring systems: a review[J]. J Am Coll Surg, 1999, 189(5): 491-503.
8.	Champion HR, Sacco WJ, Carnazzo AJ, et al. Trauma score[J].Crit Care Med, 1981, 9(9): 672-676.
9.	杨建, 石应康. 胸伤为主的全身多发伤:国人创伤严重度评分方法探讨[J]. 华西医科大学学报, 1996, 11(1): 84.
10.	梁贵友, 石应康, 杨建, 等. 胸部穿透伤损伤严重度新评分方法初探[J]. 中华创伤杂志, 2005, 21(2): 112-115.
11.	林水金, 杨映波, 朱锡光, 等. 用损伤严重度评分法评价1488例病人伤情[J]. 中华创伤杂志, 1994, 10(1): 34-35.
12.	夏群, 金鸿宾, 王基. 156例伤员修正创伤指数与损伤严重度评分值的比较[J]. 中华创伤杂志, 1997, 13(2): 22-24.
13.	陈小红, 胡海, 曹钰. 三种创伤评分法对群体伤患者死亡危险的预测价值[J]. 华西医学, 2013, 28(9): 1329-1332.
14.	Hilbert P, Hofmann GO, Zur Nieden K, et al. Coagulation management of trauma patients with unstabile circulation: establishment of a hemoglobin-oriented standard operating procedure[J]. Anaesthesist, 2012, 61(8): 703-710.
15.	Sloan EP, Koenigsberg M, Clark JM, et al. The use of the Revised Trauma Score as an entry criterion in traumatic hemorrhagic shock studies: data from the DCLHb clinical trials[J]. Prehosp Disaster Med, 2012, 27(4): 330-344.
16.	Nejati A, Khalaj S, Azizkhani R, et al. Evaluating validity of clinical criteria for requesting chest X-rays in trauma patients referred to emergency room[J]. Adv Biomed Res, 2012(1): 22.
17.	赵兴吉, 都定元, 孔令文, 等. 胸部创伤严重度评价与救治结局探讨[J]. 中华创伤杂志, 2007, 23(3): 215-218.
18.	Kassavin DS, Kuo YH, Ahmed N. Initial systolic blood pressure and ongoing internal bleeding following torso trauma[J]. J Emerg Trauma Shock, 2011, 4(1): 37-41.
19.	Hußmann B,Waydhas C, Lendemans S. Emergency trauma roommanagement in severely and most severely injured patients.A multidisciplinary task[J]. Med Klin Intensivmed Notfmed, 2012, 107(3): 217-227.

1. 石应康. 胸部创伤的诊断治疗进展[J]. 中华创伤杂志, 1998, 14(2): 6-8.
2. 王正国. 地震灾害的特点及其所致创伤的救治[J]. 中华创伤杂志, 2008, 24(6): 401-404.
3. Watts HF, Kerem Y, Kulstad EB. Evaluation of the revised trauma and injury severity scores in elderly trauma patients[J]. J Emerg Trauma Shock, 2012, 5(2): 131-134.
4. Baxt WG, Berry CC, Epperson MD, et al. The failure of prehospital trauma predictionrules to classify trauma patients accurately[J]. Ann Emerg Med, 1989, 18(1): 1-8.
5. 林一丹, 杨晓妍, 石应康. 修正创伤评分在急诊躯干损伤救治中的应用与改良[J]. 中国胸心血管外科临床杂志, 2013, 20(2): 181-184.
6. Teasdale G, Jennett B. Assessment of coma and impaired consciousness. A practical scale[J]. Lancet, 1974, 2(7872): 81-84.
7. Senkowski CK, Mckenney MG. Trauma scoring systems: a review[J]. J Am Coll Surg, 1999, 189(5): 491-503.
8. Champion HR, Sacco WJ, Carnazzo AJ, et al. Trauma score[J].Crit Care Med, 1981, 9(9): 672-676.
9. 杨建, 石应康. 胸伤为主的全身多发伤:国人创伤严重度评分方法探讨[J]. 华西医科大学学报, 1996, 11(1): 84.
10. 梁贵友, 石应康, 杨建, 等. 胸部穿透伤损伤严重度新评分方法初探[J]. 中华创伤杂志, 2005, 21(2): 112-115.
11. 林水金, 杨映波, 朱锡光, 等. 用损伤严重度评分法评价1488例病人伤情[J]. 中华创伤杂志, 1994, 10(1): 34-35.
12. 夏群, 金鸿宾, 王基. 156例伤员修正创伤指数与损伤严重度评分值的比较[J]. 中华创伤杂志, 1997, 13(2): 22-24.
13. 陈小红, 胡海, 曹钰. 三种创伤评分法对群体伤患者死亡危险的预测价值[J]. 华西医学, 2013, 28(9): 1329-1332.
14. Hilbert P, Hofmann GO, Zur Nieden K, et al. Coagulation management of trauma patients with unstabile circulation: establishment of a hemoglobin-oriented standard operating procedure[J]. Anaesthesist, 2012, 61(8): 703-710.
15. Sloan EP, Koenigsberg M, Clark JM, et al. The use of the Revised Trauma Score as an entry criterion in traumatic hemorrhagic shock studies: data from the DCLHb clinical trials[J]. Prehosp Disaster Med, 2012, 27(4): 330-344.
16. Nejati A, Khalaj S, Azizkhani R, et al. Evaluating validity of clinical criteria for requesting chest X-rays in trauma patients referred to emergency room[J]. Adv Biomed Res, 2012(1): 22.
17. 赵兴吉, 都定元, 孔令文, 等. 胸部创伤严重度评价与救治结局探讨[J]. 中华创伤杂志, 2007, 23(3): 215-218.
18. Kassavin DS, Kuo YH, Ahmed N. Initial systolic blood pressure and ongoing internal bleeding following torso trauma[J]. J Emerg Trauma Shock, 2011, 4(1): 37-41.
19. Hußmann B,Waydhas C, Lendemans S. Emergency trauma roommanagement in severely and most severely injured patients.A multidisciplinary task[J]. Med Klin Intensivmed Notfmed, 2012, 107(3): 217-227.

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Analysis on Effect of Using Hemoglobin-revised Trauma Score on Predicting the Prognosis of Emergency Trunk Injury within 28 Days

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