Performance of Trauma and Injury Severity Score(TRISS) adjustments: an integrative review
Autor(a) principal: | |
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Data de Publicação: | 2015 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Revista da Escola de Enfermagem da USP (Online) |
Texto Completo: | https://www.revistas.usp.br/reeusp/article/view/109551 |
Resumo: | Objective Identify studies that made adjustments to the equation of Trauma and Injury Severity Score (TRISS) and compared the discriminatory ability of both modified and original equations. Method An integrative review of studies published between 1990 and 2014 using the following databases: LILACS, MEDLINE, PubMed and SciELO, based on searches using the term “TRISS”. Results 32 studies were included in this review. Of 67 adjustments to TRISS equations identified, 35 (52.2%) resulted in improved accuracy of this index in the prediction of survival probability for trauma patients. Adjustments of TRISS coefficients to study population were frequent, but did not always improve the predictive ability of the analyzed models. Replacement of physiological variables of the Revised Trauma Score (RTS) and changes in the Injury Severity Score (ISS) in the original equation presented varied performance. An alteration to the method of age inclusion in the equation, and the insertion of gender, comorbidities and trauma mechanism, presented a tendency towards improved performance of the TRISS. Conclusion Different proposals of adjustments to the TRISS were identified in this review and indicated, in particular, RTS fragilities in the original model and the need to change the method of age inclusion in the equation to improve the predictive ability of this index. |
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Performance of Trauma and Injury Severity Score(TRISS) adjustments: an integrative review Rendimiento de los ajustes de Trauma and Injury Severity Score (TRISS): revisión integrativa Desempenho dos ajustes do Trauma and Injury Severity Score (TRISS): revisão integrativa Objective Identify studies that made adjustments to the equation of Trauma and Injury Severity Score (TRISS) and compared the discriminatory ability of both modified and original equations. Method An integrative review of studies published between 1990 and 2014 using the following databases: LILACS, MEDLINE, PubMed and SciELO, based on searches using the term “TRISS”. Results 32 studies were included in this review. Of 67 adjustments to TRISS equations identified, 35 (52.2%) resulted in improved accuracy of this index in the prediction of survival probability for trauma patients. Adjustments of TRISS coefficients to study population were frequent, but did not always improve the predictive ability of the analyzed models. Replacement of physiological variables of the Revised Trauma Score (RTS) and changes in the Injury Severity Score (ISS) in the original equation presented varied performance. An alteration to the method of age inclusion in the equation, and the insertion of gender, comorbidities and trauma mechanism, presented a tendency towards improved performance of the TRISS. Conclusion Different proposals of adjustments to the TRISS were identified in this review and indicated, in particular, RTS fragilities in the original model and the need to change the method of age inclusion in the equation to improve the predictive ability of this index. Objetivo identificar estudos que realizaram ajustes na equação do Trauma and InjurySeverity Score (TRISS) e compararam a capacidade discriminatória da equação modificada com a original. Método Revisão integrativa de pesquisas publicadas entre 1990 e 2014 nas bases de dados LILACS, MEDLINE, PubMed e SciELO utilizando-se a palavra TRISS. Resultados foram incluídos 32 estudos na revisão. Dos 67 ajustes de equações do TRISS identificados, 35 (52,2%) resultaram em melhora na acurácia do índice para predizer a probabilidade de sobrevida de vítimas de trauma. Ajustes dos coeficientes do TRISS à população de estudo foram frequentes, mas nem sempre melhoraram a capacidade preditiva dos modelos analisados. A substituição de variáveis fisiológicas do Revised Trauma Score (RTS) e modificações do Injury Severity Score (ISS) na equação original tiveram desempenho variado. A mudança na forma de inclusão da idade na equação, assim como a inserção do gênero, comorbidades e mecanismo do trauma apresentaram tendência de melhora do desempenho do TRISS. Conclusão Diferentes propostas de ajustes no TRISS foram identificadas nesta revisão e indicaram, principalmente, fragilidades do RTS no modelo original e necessidade de alteração da forma de inclusão da idade na equação para melhora da capacidade preditiva do índice. Objetivo Identificar los estudios que se ajuste a La ecuación de Trauma and Injury Severity Score (TRISS) y comparar con la capacidad discriminatoria de la ecuación modificado con el original. Método revisión de estudios publicados entre 1990 y 2014 en las bases de datos LILACS, MEDLINE, PubMed y SciELO utilizando la palabra clave TRISS. Resultados Se incluyeron 32 estudios. De los 67 TRISS ecuaciones ajustes identificados, 35 (52,2%) resulto en una mejora en la precisión del índice para predecir la probabilidad de supervivencia de las víctimas de trauma. Ajustes coeficientes TRISS a la población del estudio eran frecuentes, pero no siempre mejoran la capacidad predictiva de los modelos analizados. La sustitución de variables fisiológicas revisadas Trauma Score (RTS) y modificaciones Del Injury Severity Score (ISS) en La ecuación tenía variada rendimiento. El cambio en la forma de inclusión de la edad, así como La inserción de género, las comorbilidades y mecanismo de la lesión mostro tendencia de mejora del rendimiento TRISS. Conclusión diferentes propuestas de ajustes a la TRISS fueron identificados en esta revisión y señalaron principalmente RTS debilidades en el modelo original y la necesidad de cambiar la forma de inclusión de la edad en la ecuación para mejorar la capacidad predictiva del índice. Universidade de São Paulo. Escola de Enfermagem2015-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://www.revistas.usp.br/reeusp/article/view/10955110.1590/S0080-623420150000700020Revista da Escola de Enfermagem da USP; v. 49 (2015): Número Especial; 138-146Revista da Escola de Enfermagem da USP; Vol. 49 (2015): Special Number; 138-146Revista da Escola de Enfermagem da USP; Vol. 49 (2015): Numero Especial; 138-1461980-220X0080-6234reponame:Revista da Escola de Enfermagem da USP (Online)instname:Universidade de São Paulo (USP)instacron:USPporenghttps://www.revistas.usp.br/reeusp/article/view/109551/108036https://www.revistas.usp.br/reeusp/article/view/109551/108037http://creativecommons.org/licenses/by-nc/4.0info:eu-repo/semantics/openAccessDomingues, Cristiane de AlencarNogueira, Lilia de SouzaSettervall, Cristina Helena CostantiSousa, Regina Marcia Cardoso de2016-03-22T13:28:16Zoai:revistas.usp.br:article/109551Revistahttps://www.revistas.usp.br/reeuspPUBhttps://www.revistas.usp.br/reeusp/oai||nursingscholar@usp.br1980-220X0080-6234opendoar:2016-03-22T13:28:16Revista da Escola de Enfermagem da USP (Online) - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Performance of Trauma and Injury Severity Score(TRISS) adjustments: an integrative review Rendimiento de los ajustes de Trauma and Injury Severity Score (TRISS): revisión integrativa Desempenho dos ajustes do Trauma and Injury Severity Score (TRISS): revisão integrativa |
title |
Performance of Trauma and Injury Severity Score(TRISS) adjustments: an integrative review |
spellingShingle |
Performance of Trauma and Injury Severity Score(TRISS) adjustments: an integrative review Domingues, Cristiane de Alencar |
title_short |
Performance of Trauma and Injury Severity Score(TRISS) adjustments: an integrative review |
title_full |
Performance of Trauma and Injury Severity Score(TRISS) adjustments: an integrative review |
title_fullStr |
Performance of Trauma and Injury Severity Score(TRISS) adjustments: an integrative review |
title_full_unstemmed |
Performance of Trauma and Injury Severity Score(TRISS) adjustments: an integrative review |
title_sort |
Performance of Trauma and Injury Severity Score(TRISS) adjustments: an integrative review |
author |
Domingues, Cristiane de Alencar |
author_facet |
Domingues, Cristiane de Alencar Nogueira, Lilia de Souza Settervall, Cristina Helena Costanti Sousa, Regina Marcia Cardoso de |
author_role |
author |
author2 |
Nogueira, Lilia de Souza Settervall, Cristina Helena Costanti Sousa, Regina Marcia Cardoso de |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Domingues, Cristiane de Alencar Nogueira, Lilia de Souza Settervall, Cristina Helena Costanti Sousa, Regina Marcia Cardoso de |
description |
Objective Identify studies that made adjustments to the equation of Trauma and Injury Severity Score (TRISS) and compared the discriminatory ability of both modified and original equations. Method An integrative review of studies published between 1990 and 2014 using the following databases: LILACS, MEDLINE, PubMed and SciELO, based on searches using the term “TRISS”. Results 32 studies were included in this review. Of 67 adjustments to TRISS equations identified, 35 (52.2%) resulted in improved accuracy of this index in the prediction of survival probability for trauma patients. Adjustments of TRISS coefficients to study population were frequent, but did not always improve the predictive ability of the analyzed models. Replacement of physiological variables of the Revised Trauma Score (RTS) and changes in the Injury Severity Score (ISS) in the original equation presented varied performance. An alteration to the method of age inclusion in the equation, and the insertion of gender, comorbidities and trauma mechanism, presented a tendency towards improved performance of the TRISS. Conclusion Different proposals of adjustments to the TRISS were identified in this review and indicated, in particular, RTS fragilities in the original model and the need to change the method of age inclusion in the equation to improve the predictive ability of this index. |
publishDate |
2015 |
dc.date.none.fl_str_mv |
2015-12-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/reeusp/article/view/109551 10.1590/S0080-623420150000700020 |
url |
https://www.revistas.usp.br/reeusp/article/view/109551 |
identifier_str_mv |
10.1590/S0080-623420150000700020 |
dc.language.iso.fl_str_mv |
por eng |
language |
por eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/reeusp/article/view/109551/108036 https://www.revistas.usp.br/reeusp/article/view/109551/108037 |
dc.rights.driver.fl_str_mv |
http://creativecommons.org/licenses/by-nc/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
http://creativecommons.org/licenses/by-nc/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Escola de Enfermagem |
publisher.none.fl_str_mv |
Universidade de São Paulo. Escola de Enfermagem |
dc.source.none.fl_str_mv |
Revista da Escola de Enfermagem da USP; v. 49 (2015): Número Especial; 138-146 Revista da Escola de Enfermagem da USP; Vol. 49 (2015): Special Number; 138-146 Revista da Escola de Enfermagem da USP; Vol. 49 (2015): Numero Especial; 138-146 1980-220X 0080-6234 reponame:Revista da Escola de Enfermagem da USP (Online) instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista da Escola de Enfermagem da USP (Online) |
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Revista da Escola de Enfermagem da USP (Online) |
repository.name.fl_str_mv |
Revista da Escola de Enfermagem da USP (Online) - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||nursingscholar@usp.br |
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1800221738623041536 |