video

sound

Persian Version

View:

176

Download:

0

Cites:

Information Journal Paper

Title

COMPARING THE PREDICTIVE ABILITY FOR MORTALITY RATES BY GAP AND MGAP SCORING SYSTEMS IN MULTIPLE-TRAUMA PATIENTS

Pages

 Start Page 118 | End Page 132

Abstract

 Background and purpose: TRAUMA SCORING SYSTEMs help physicians and nurses in recognizingthe severity of trauma and its management. The purpose of this study was to investigate and compare thepredictive ability of mortality rates of two TRAUMA SCORING SYSTEMs (MGAP and GAP) in MULTIPLE TRAUMApatients. Materials and methods: In this cross-sectional study, we used the data available in electronicrecords for trauma patients admitted to Rasht Poorsina Hospital, Iran. Demographic data, and GAP andMGAP (Mechanism, Glasgow Coma Scale, Age, and Pressure) scores for 1541 patients were extracted. Then, the ability of both scores in short-term (24 hours) and long-term (4-week) MORTALITY PREDICTION rateswas analyzed using SPSS V21. Results: The surface areas under the curve ratio of ROC for predicting short-term mortality rateswere 0. 947 and 0. 938, and for long-term mortality rates were 0. 928 and 0. 914 for GAP and MGAP, respectively (P<0. 001). Also, Kappa coefficient for agreement of both scoring systems was 0. 754 and0. 462, respectively. The best cut-off values for GAP and MGAP in predicting short-term mortality rateswere 16 and 21 with sensitivity rates of 97. 6% and 96. 6%, specificity rates of 81. 1% and 83%, andaccuracy rates of 97. 1% and 96. 2%, respectively, while in the long-term mortality rates these values were19 and 22 with sensitivity rates of 92. 4% and 92. 6%, specificity rates of 80%, and accuracy rates of91. 95% and 92. 1%, respectively. Conclusion: Both GAP and MGAP could appropriately predict mortality rate without anysignificant difference. Therefore, these scores could be used as triage tools, and in predicting the severityof injuries and mortality.

Cites

  • No record.
  • References

  • No record.
  • Related Journal Papers

    Related Seminar Papers

  • No record.
  • Related Plans

  • No record.
  • Recommended Workshops






    File Not Exists.