Value of GCS, ISS and RTST in prognosis evaluation of patients with craniocerebral injury combined with multiple trauma
LIU Hua
LI Bing
RUAN Hai-lin
YANG Jia-you
Abstract：Objective To investigate the value of Glasgow coma scale (GCS), injury severity score (ISS) and the revised trauma score ( RTS) in prognosis evaluation of patients with craniocerebral injury combined with multiple trauma. Methods We entered the clinical data of 547 cases with craniocerebral injury combined with multiple trauma (67 cases of death and 480 cases of survival) into the database system V3.0 software, and it automatically coded and calculated GCS, ISS and RTS.The correlations of RTS, GCS and ISS with mortality rate were analyzed.Using the receiver-operating charac-teristic curve ( ROC) to analyze the sensitivity and specificity in judgment of poor prognosis.Results The ISS in death was higher, but GCS and RTS was lower than that of the survival (all P<0.05).RTS, GCS, ISS and mortality rate had significant correlations (r=-0.90,-0.86, and 0.77, respectively;all P<0.05), and the correlation between RTS and mortality rate was the strongest.The area under the ROC curve ( AUC) of RTS, GCS and ISS were 0.922, 0.918 and 0.861, respectively.We took ISS≥25, GCS≤8 and RTS≤10 as the cut-off point, the sensitivities of GCS and RTS in judgment of poor prognosis were both higher than that of ISS (all P<0.05).Conclusion RTS can be used for the early evaluation of prognosis of patients with craniocerebral injury combined with multiple trauma, and its effect is better than that of GCS and ISS.
Keywords：craniocerebral traumamultiple traumatrauma scoreprognosis
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 4-6 )