Trauma severity predictors
DOI:
https://doi.org/10.11606/issn.2176-7262.rmrp.2023.203111Keywords:
Trauma severity indices, Trauma, Injuries, Biomarkers, Patient scuity, Scoping reviewAbstract
This review aimed to determine which are the indexes for early detection and evaluation of clinical and physiological deterioration of traumatized patients. A Scoping Review according to the methods proposed by Joanna Briggs Institute (JBI) was performed from February 2018 to December 2018 on LILACS (Literatura Latino-Americana e do Caribe em Ciências da Saúde), National Library of Medicine (PubMed), and SCOPUS databases. Sixty-two studies were included, of which 43 evaluated patients with general trauma. A variety of physiological variables, such as Glasgow Coma Score, Glucose, Days in the Intensive Care Unit, Lactate, and predictor indexes - Injury Severity Score (ISS), Trauma Injury Severity Score (TRISS), Revisited Trauma Score (RTS), and APACHE II were identified. The values observed in the studies among patients were compared to the ones determined by the basic literature, being called Critical Values (CV). The group of gravity indexes, besides clinical and regulatory protocols, found in this review are the solidification of the healthcare process involving the traumatized patient’s responses to the actions of the healthcare team. The analysis of these indexes must be emphasized to determine, with greater reliability, the prognosis of the patient. With these data, it may be possible to effectively predict mortality rates.
Downloads
References
Allen CJ, Wagenaar AE, Horkan DB, Baldor DJ, Hannay WM, Tashiro J, et al. Predictors of mortality in pediatric trauma: experiences of a level 1 trauma center and an assessment of the International Classification Injury Severity Score (ICISS). Pediatr Surg Int. 2016;32(7):657-63.
Ahun E, Köksal Ö, Sığırlı D, Torun G, Dönmez SS, Armağan E. Value of the Glasgow coma scale, age, and arterial blood pressure score for predicting the mortality of major trauma patients presenting to the emergency department. Ulus Travma Acil Cerrahi Derg. 2014;20(4):241-7.
Beigzadeh A, Naghibzadeh TA, Rezaei H, Bahman BB, Nazarieh M, Seyed ASM. Epidemiology of trauma in Shahid Bahonar hospital in Kerman. JOURNAL OF EMERGENCY PRACTICE AND TRAUMA. 2016;2(2):33 To 6.
Levi Y, Jeroukhimov I, Peleg K, Rozenfeld M, Shavit I, Kozer E. Base excess as a predictor for injury severity in pediatric trauma patients. J Emerg Med. 2013;45(4):496-501.
Lam SW, Lingsma HF, van Beeck EF, Leenen LP. Validation of a base deficit-based trauma prediction model and comparison with TRISS and ASCOT. Eur J Trauma Emerg Surg. 2016;42(5):627-33.
Ustyantseva I, Khokholva O, Agadzhanyan V, Petukhova O, Zhevlakova Y. Clinicopathogenetic aspects of systemic inflammatory response development in polytrauma. Critical Care. 2010;14:285.
Henao FJ, Daes JE, Dennis RJ. Risk factors for multiorgan failure: a case-control study. J Trauma. 1991;31(1):74-80.
Weeks SR, Stevens KA, Haider AH, Efron DT, Haut ER, MacKenzie EJ, et al. A modified Kampala trauma score (KTS) effectively predicts mortality in trauma patients. Injury. 2016;47(1):125-9.
Dezman ZD, Comer AC, Smith GS, Narayan M, Scalea TM, Hirshon JM. Failure to clear elevated lactate predicts 24-hour mortality in trauma patients. J Trauma Acute Care Surg. 2015;79(4):580-5.
Cicero MX, Cross KP. Predictive value of initial Glasgow coma scale score in pediatric trauma patients. Pediatric Emergency Care. 2013;29(1):43-8.
Hagemo JS, Stanworth S, Juffermans NP, Brohi K, Cohen M, Johansson PI, et al. Prevalence, predictors and outcome of hypofibrinogenaemia in trauma: a multicentre observational study. Crit Care. 2014;18(2):R52.
Balogh Z, Offner PJ, Moore EE, Biffl WL. NISS predicts postinjury multiple organ failure better than the ISS. J Trauma. 2000;48(4):624-7; discussion 7-8.
Whitaker IY, Gennari TD, Whitaker AL. The difference between ISS and NISS in a series of trauma patients in Brazil. Annu Proc Assoc Adv Automot Med. 2003;47:301-9.
Schluter PJ, Nathens A, Neal ML, Goble S, Cameron CM, Davey TM, et al. Trauma and Injury Severity Score (TRISS) coefficients 2009 revision. J Trauma. 2010;68(4):761-70.
Moore L, Lavoie A, Abdous B, Le Sage N, Liberman M, Bergeron E, et al. Unification of the revised trauma score. J Trauma. 2006;61(3):718-22; discussion 22.
Mock C. WHO releases Guidelines for trauma quality improvement programmes. Inj Prev. 2009;15(5):359.
Peters MD, Godfrey CM, Khalil H, McInerney P, Parker D, Soares CB. Guidance for conducting systematic scoping reviews. Int J Evid Based Healthc. 2015;13(3):141-6.
Santos CMC, Pimenta CAM, Nobre MRC. A estratégia PICO para a construção da pergunta de pesquisa e busca de evidências. Latino-Am Enfermagem. 2007;15(3):508-11.
Beitl E, Banasova A, Vlcek M, Mikova D, Hampl V. Nitric oxide as an indicator for severity of injury in polytrauma. Bratisl Lek Listy. 2016;117(4):217-20.
Newgard CD, Zive D, Jui J, Weathers C, Daya M. Electronic versus manual data processing: evaluating the use of electronic health records in out-of-hospital clinical research. Acad Emerg Med. 2012;19(2):217-27.
Bernardi FA, Senju ALA, Santos MA, Azevedo BM, Pereira Júnior GA. Dispositivo móvel para registro eletrônico multiprofissional do atendimento pré-hospitalar no SAMU / A mobile device application for the use of multidisplinary eletronic records by SAMU's first responders. XV Congresso Brasileiro de Informática em Saúde; Goiânia, Brazil: J. health inform; 2016. p. 879-88.
MacLeod JB, Lynn M, McKenney MG, Cohn SM, Murtha M. Early coagulopathy predicts mortality in trauma. J Trauma. 2003;55(1):39-44.
Hall JE. Guyton and Hall Textbook of Medical Physiology. 13th ed. Philadelphia, PA: Elsevier; 2016.
Ohmori T, Kitamura T, Tanaka K, Saisaka Y, Ishihara J, Onishi H, et al. Admission fibrinogen levels in severe trauma patients: A comparison of elderly and younger patients. Injury. 2015;46(9):1779-83.
Kubota K, Makuuchi M, Kusaka K, Kobayashi T, Miki K, Hasegawa K, et al. Measurement of liver volume and hepatic functional reserve as a guide to decision ‐ making in resectional surgery for hepatic tumors. Hepatology. 1997;26(5):1176-81.
Bastos MG. Biomarcadores na Nefrologia. Biomarcadores de função renal na DRC: Sociedade Brasileira de nefrologia; 2011. p. 8-18.
Saad S, Mohamed N, Moghazy A, Ellabban G, El-Kamash S. Venous glucose, serum lactate and base deficit as biochemical predictors of mortality in patients with polytrauma. Ulus Travma Acil Cerrahi Derg. 2016;22(1):29-33.
Paradis NA, Balter S, Davison CM, Simon G, Rose M. Hematocrit as a predictor of significant injury after penetrating trauma. Am J Emerg Med. 1997;15(3):224-8.
Kumar V, Abbas AK, Aster JC, Perkins JA. Robbins basic pathology. Tenth ed. Philadelphia: Elsevier, ; 2018.
Majercik S, Fox J, Knight S, Horne BD. Red cell distribution width is predictive of mortality in trauma patients. J Trauma Acute Care Surg. 2013;74(4):1021-6.
StatPearls. 2020.
Carlotti APdCP. Abordagem clínica dos distúrbios do equilíbrio ácido-base. Emergências Pediátricas; Ribeirão Preto, SP, Brazil: Medicina (Ribeirão Preto); 2012. p. 244-62.
Rixen D, Siegel JH. Metabolic correlates of oxygen debt predict posttrauma early acute respiratory distress syndrome and the related cytokine response. J Trauma. 2000;49(3):392-403.
Eakins J. Blood glucose control in the trauma patient. J Diabetes Sci Technol. 2009;3(6):1373-6.
Downloads
Published
Issue
Section
License
Copyright (c) 2023 André Luís Antoneli Senju, Giovanna Cristina Conti Machado-Kayzuka, Luís Expedito Sabage, Carlos Antonio Negrato, Aguinaldo César Nardi, Cezar Kayzuka Cotta Filho, Alessandra Mazzo
This work is licensed under a Creative Commons Attribution 4.0 International License.
