创伤死亡率预测模型与韩国最新生存风险比率的比较
Juyoung Kim1,2, Yun Jung Heo3, Yoon Kim2,4
1Division of Trauma Surgery, Department of Surgery, Ajou University School of Medicine, Suwon, Korea.
Journal of Korean medical science
|April 22, 2025
概括
这项研究表明,基于国际疾病分类的伤害严重性得分 (ICISS) 模型是可行的,用于评估韩国的创伤护理,有助于死亡率预测和严重性分类.
科学领域:
- 创伤护理研究 创伤护理研究
- 医疗信息学 医疗信息学
- 公共卫生 公共卫生
背景情况:
- 在韩国,创伤伤害造成的疾病负担很大.
- 全国范围内的创伤护理状态评估不足.
- 本研究探讨了一种基于诊断代码的方法,用于测量损伤严重程度.
研究的目的:
- 评估基于诊断代码的伤害严重程度测量方法的可行性.
- 评估韩国基于国际疾病分类的伤害严重性得分 (ICISS) 模型的现实世界使用和性能.
- 为加强韩国创伤护理系统做出贡献.
主要方法:
- 使用了来自国家紧急情况部门信息系统和韩国创伤数据库的数据集.
- 开发了六种死亡率预测模型,包括创伤和伤害严重性得分 (TRISS) 和扩展的ICISS变异.
- 员工分层随机抽样用于培训 (80%) 和验证 (20%) 数据集.
- 使用接收器操作特征曲线 (AUC) 下面的面积和Brier分数来评估模型性能.
主要成果:
- 扩展ICISS模型证明了可行性,其性能略低于TRISS模型 (AUC为0.936-0.938对比0.949).
- 在生存风险比率 (SRR) 计算方法中没有发现统计学意义上的差异.
- 在修订的创伤评分 (RTS) 计算中,用警报,声音,疼痛,不响应等级替换格拉斯哥昏迷度量表并没有降低模型性能.
结论:
- 一个实用的ICISS模型可用并且可在韩国使用.
- 开发的ICISS模型可以帮助预测死亡率和重症分类.
- 预计该模型将增强韩国创伤护理系统.
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