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Prognostic scales ISS-RTS-TRISS, PRISM, APACHE Ⅱ and PTS in Decision support of treatment children with severe mechanical trauma

机译:ISS-RTS-TRISS,PRISM,APACHEⅡ和PTS的预后量表对重度机械创伤儿童的决策支持

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The aim of the present study is to assess a possibility and validity of prognostic scales ISS-RTS-TRISS, PRISM, APACHE II and PTS to be used for the automated calculation in decision support when treating children with severe mechanical traumas. The mentioned scales are used in the Hospital Information System (HIS) MEDIALOG. The retrospective study was conducted using clinical and physiological data collected at the admission and during the first 24 hours of hospitalization in 166 patients. Scales PRISM, APACHE Ⅱ, ISS-RTS-TRISS were used for calculating the severity of injury and for prognosis in death outcomes. Scale PTS was used for evaluating the severity index only. Our research has shown that ISS-RTS-TRISS has excellent discrimination ability, PRISM and APACHE Ⅱ prognostic scales have acceptable discrimination ability; moreover, they all have significant calibration ability. PTS scale has acceptable discrimination ability. It has been showed that automated calculation scales ISS-RTS-TRISS, PRISM, APACHE Ⅱ and PTS are useful for assessing outcomes in children with severe mechanical trauma.
机译:本研究的目的是评估治疗严重机械创伤的儿童时,ISS-RTS-TRISS,PRISM,APACHE II和PTS预后量表在决策支持中用于自动计算的可能性和有效性。医院医院信息系统(HIS)MEDIALOG中使用了提到的量表。回顾性研究是使用入院时和住院的最初24小时内对166例患者收集的临床和生理数据进行的。使用PRISM,APACHEⅡ,ISS-RTS-TRISS量表来​​计算损伤的严重程度和死亡预后。 Scale PTS仅用于评估严重性指数。我们的研究表明,ISS-RTS-TRISS具有出色的判别能力,PRISM和APACHEⅡ预后量表具有可接受的判别能力。而且,它们都具有显着的校准能力。 PTS量表具有可接受的判别能力。研究表明,自动计算量表ISS-RTS-TRISS,PRISM,APACHEⅡ和PTS可用于评估严重机械创伤儿童的预后。

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