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- W2899904707 abstract "Abstract Introduction The goals of this project were to compare both the anatomic and physiologic severity scores in trauma patients admitted to intensive care unit (ICU), and to elaborate mixed statistical models to improve the precision of the scores. Methods A prospective study of cohorts. The combined medical/surgical ICU in a secondary university hospital. Seven hundred and eighty trauma patients admitted to ICU older than 16 years of age. Anatomic models (ISS and NISS) were compared and combined with physiological models (T-RTS, APACHE II [APII], and MPM II). The probability of death was calculated following the TRISS method. The discrimination was assessed using ROC curves (ABC [CI 95%]), and the calibration using the Hosmer–Lemeshow's H test. The mixed models were elaborated with the tree classification method type Chi Square Automatic Interaction Detection. Results A 14% global mortality was recorded. The physiological models presented the best discrimination values (APII of 0.87 [0.84–0.90]). All models were affected by bad calibration (p Conclusions The physiological models perform better than the anatomical models in traumatic patients admitted to the ICU. Patients with low scores in the physiological models require an anatomic analysis of the injuries to determine their severity." @default.
- W2899904707 created "2018-11-16" @default.
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- W2899904707 date "2019-01-01" @default.
- W2899904707 modified "2023-10-18" @default.
- W2899904707 title "Severity scores in trauma patients admitted to ICU. Physiological and anatomic models" @default.
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- W2899904707 doi "https://doi.org/10.1016/j.medine.2018.10.004" @default.
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