https://scholars.lib.ntu.edu.tw/handle/123456789/526794
標題: | Penetrating chest injury: Who warrants aggressive treatment? | 作者: | SHYR-CHYR CHEN Kauder D.R. Schwab C.W. |
公開日期: | 1998 | 卷: | 97 | 期: | 5 | 起(迄)頁: | 367-369 | 來源出版物: | Journal of the Formosan Medical Association | 摘要: | To determine the degree of severity in penetrating chest injuries that predicts survival, we conducted a logistic regression analysis. All patients suffering penetrating chest injuries (n = 310) admitted to an urban level I teaching hospital in the USA between January 1993 and December 1994 were evaluated. The Injury Severity Score (ISS), Glasgow Goma-Scale (GCS), Trauma Score (TS), and Revised Trauma Score were used to compare injury survivors with nonsurvivors. We used the trauma scores to create a logit to predict the outcome among-160 patients in 1993 and tested the validity of this logitsin- another 150 patients in 1994. With death = 0, survival = 1, the equation=in P(d)/P(s) b0 + b1 ISS + b (t) GCS + B9 TS was obtained from logistic regression where b0 was the constant of the equation and b1, b2, and b3 were the coefficients of = ISS, GCS and TS, respectively. A logic score- greater than 0.5 was found to be predictive of death was a sensitivity of 80.0%, a specificity of 97.5% and an accuracy of 94.0%. Aggressive resuscitation should be aimed at patients with a logit score greater than 0.5 to reduce mortality. This knowledge may aid in the management of patients, with: severe, chest injuries. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/526794 | ISSN: | 0929-6646 | SDG/關鍵字: | adolescent; adult; article; coma; disease severity; female; human; human tissue; major clinical study; male; outcomes research; penetrating trauma; prediction; scoring system; thorax injury; urinalysis; Adolescent; Adult; Female; Humans; Male; Middle Aged; Thoracic Injuries; Wounds, Penetrating |
顯示於: | 醫學院附設醫院 (臺大醫院) |
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