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Trauma score versus revised trauma score in TRISS to predict outcome in children with blunt trauma
M R Eichelberger1, L M Bowman, W J Sacco
1Trauma Service, Children's Hospital National Medical Center, Washington, DC 20010.
Insights
The Trauma-Injury Severity Score (TRISS) and revised TRISS accurately predict survival in pediatric blunt trauma patients. Both methods demonstrated comparable effectiveness in quantifying outcomes for children under 15.
Area of Science:
- Pediatric Trauma Care
- Injury Outcome Prediction
- Trauma Registry Analysis
Background:
- Accurate prediction of survival is crucial for managing pediatric blunt trauma patients.
- Existing trauma scoring systems, like TRISS, require validation in pediatric populations.
- The Revised Trauma Score (R-TRISS) offers an alternative for outcome assessment.
Purpose of the Study:
- To evaluate the accuracy of TRISS and R-TRISS in predicting survival for pediatric blunt trauma.
- To compare the predictive performance of TRISS and R-TRISS in children.
- To assess the utility of these scores against an adult baseline cohort.
Main Methods:
- Analysis of 1,562 pediatric patients (<15 years) admitted with blunt trauma.
- Calculation of survival probability using TRISS (Trauma Score, Injury Severity Score, age) and R-TRISS (Revised Trauma Score).
- Statistical comparison of TRISS and R-TRISS outcomes against the Major Trauma Outcome Study adult cohort.
Main Results:
- Both TRISS and R-TRISS accurately quantified survival outcomes in the pediatric blunt trauma cohort.
- No statistically significant difference was found between the predictive accuracy of TRISS and R-TRISS.
- The performance of both scoring systems was validated within the pediatric trauma context.
Conclusions:
- TRISS and R-TRISS are reliable tools for predicting survival in children experiencing blunt trauma.
- The choice between TRISS and R-TRISS does not significantly impact outcome prediction accuracy in this pediatric group.
- These validated scoring systems aid in the assessment and management of pediatric trauma patients.
Abstract:
We analyzed the accuracy of TRISS and a revised TRISS to predict survival outcome in a group of 1,562 consecutive children less than 15 years old admitted with blunt trauma to a pediatric trauma center. TRISS is an index that computes a probability of survival for each patient based on Trauma Score, Injury Severity Score, and age. R-TRISS uses the Revised Trauma Score instead of the Trauma Score. We used a statistical method based on TRISS and R-TRISS to compare patient outcomes from the pediatric study group with those of an adult baseline control group from the Major Trauma Outcome Study. Both TRISS and R-TRISS have the capability to accurately quantify survival outcome for children with blunt trauma; there was no statistical difference between the two methods to do so.