Neurologico Spinale Medico Chirurgico
Vol 2 No 1 (2019)

Diagnostic validity of Thoracic trauma severity score in patient with blunt thoracic trauma for predicting mortality rate

Ngakan Gede Dwija Hermawan (Department of Surgery, Medical Faculty Udayana University – Sanglah General Hospital)
I Nyoman Semadi (Department of Surgery, Medical Faculty Udayana University – Sanglah General Hospital)
I Gede Raka Widiana (Department of Internal Medicine, Faculty of Medicine, Udayana University / Sanglah General Hospital)
Desy Permatasari (Department of Anesthesiology and Intensive Care, Faculty of Medicine, Udayana University)
Christopher Ryalino (Department of Anesthesiology and Intensive Care, Faculty of Medicine, Udayana University)



Article Info

Publish Date
15 May 2019

Abstract

Introduction: The high incidence of blunt thoracic trauma is still a serious concern in emergency services. Mild to severe cases of blunt thoracic trauma that come to the emergency department are not those that can be considered simple but need to be reviewed for the possibility that can lead to the occurrence of advanced complications. This study aims to predict mortality in patient with blunt thoracic trauma with TTS (Thoracic trauma severity) score. Patients and Methods: This is a retrospective study with 52 subjects of blunt thoracic trauma patients treated at our University Hospital from January 2016 to May 2017. Eligible data were collected from medical record analyzed by receiver operating characteristics curve and cross tabulation. Results: The age of the subjects are 48.03±15.62, with male 42 subjects (80.8%) and female ten subjects (19.2%). The mean point of Thoracic trauma severity score (TTSS) was 8.32 ± SD: 2.69. The outcome was three patients dead (5.8%) and 49 patients discharged (94,2%). The sensitivity of TTSS 100 %, specificity 89.7%, positive predictive value (PPV) 37.5%, negative predictive value (NPV) 100%, and accuracy rate 90.3%. Highly sensitivity and specificity results for Thoracic Trauma Severity Score is valid for the screening of Blunt Thoracic Trauma. Conclusion: At 11.5 cut-off point, the TTSS was an excellent tool to predict the mortality rate of patients with blunt thoracic trauma. It has a 100% sensitivity and 89.7% specificity, as well as 37.5% PPV and 100% NPV.

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Journal Info

Abbrev

nsmc

Publisher

Subject

Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience

Description

Neurologico Spinale Medico Chirurgico (NSMC) is an open-access, single-blind peer-reviewed journal, published by Indonesian Neurospine Society (INSS) under the flag of Indonesian Neurosurgery Society (INS) and Faculty of Medicine, Udayana University. NSMC publishes articles which encompass all ...