Journal of Trauma and Injury

The Korean Society of Traumatology (대한외상학회)
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Clinical Investigation of Isolated Chest Injury

흉부 단독손상 환자의 임상적 고찰

  • Lee, Keung Moo (Department of Rehabilitation Medicine, College of Medicine, The Chungbuk National University) ;
  • Kim, Dong Soo (Department of Orthopedic Surgery, College of Medicine, The Chungbuk National University) ;
  • Lee, Suk Woo (Department of Emergency Medicine, College of Medicine, The Chungbuk National University) ;
  • Kim, Hoon (Department of Emergency Medicine, College of Medicine, The Chungbuk National University)
  • 이경무 (충북대학교 의과대학 재활의학과교실) ;
  • 김동수 (충북대학교 의과대학 정형외과학교실) ;
  • 이석우 (충북대학교 의과대학 응급의학과교실) ;
  • 김훈 (충북대학교 의과대학 응급의학과교실)
  • Received : 2006.05.26
  • Accepted : 2006.07.03
  • Published : 2006.06.30
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Abstract

Purpose: Injuries are the third leading cause of death in Korea. Isolated chest injury is not uncommon and shows high mortality and morbidity. Several scoring systems are used for triage and stratification for trauma patients, but no standard system is accepted. We aimed to analyze the accuracy of identification of isolated chest injury by using several scoring systems. Methods: We reviewed a total of 75 patients admitted with isolated chest injury between January 2005 and October 2005. Medical records were reviewed by using the Injury Severity Score (ISS), the Revised Trauma Score (RTS), and the Trauma and Injury Severity Score (TRISS). The scoring systems were compared by using statistics methods. Results: The overall predictive accuracy of the TRISS was 12.5%, 12.0% greater than those of the RTS and the ISS. By using the area under the receiver operating characteristic (AUROC) curve, the TRISS showed an excellent discriminative power (AUROC 0.931) compared to the ISS (AUROC 0.926) and the RTS (AUROC 0.872). Conclusion: Compared with the RTS and the ISS, the TRISS is an easily applied tool with excellent prognostic abilities for isolated chest trauma patients. However, the TRISS, the ISS, and the RTS showed high specificity and low sensitivity, so another scoring system is required for triage and stratification of isolated chest injury patients.

Keywords

Acknowledgement

Supported by : 충북대학교병원

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