ความสัมพันธ์ระหว่างการคัดแยกผู้ป่วยด้วย MOPH ED Triage กับโอกาสรอดชีวิตด้วยวิธี Trauma and Injury Severity Score (TRISS) ในผู้ป่วยบาดเจ็บ

Laosuksri W; Chiwpreecha P; Samork N; Thaimit Y; Srisookkum T

Authors

Laosuksri W Emergency department, Sawanpracharak Hospital, Thailand
Chiwpreecha P School of Medicine, University of Phayao, Thailand
Samork N School of Medicine, University of Phayao, Thailand
Thaimit Y School of Medicine, University of Phayao, Thailand
Srisookkum T School of Public Health, University of Phayao, Thailand

Keywords:

Trauma patient, Manual for data collection provincial injury surveillance, Triage, Probability of survivor, Revise Trauma Score (RTS), Injury Severity Score (ISS), Trauma Injury and Injury Severity Score (TRISS)

Abstract

Objectives Thailand uses the Ministry of Public Health’s Emergency Department Triage (MOPH ED Triage) triage system to triage injured patients; however there is inadequate evidence on its accuracy. Concurrently, the Trauma Injury and Injury Severity Score (TRISS) is a widely accepted and evidence backed scale used to predict survival outcomes of injured patients. Our study aims to validate the accuracy of MOPH ED triage in predicting survival outcome and the accuracy of MOPH ED triage compared to TRISS.

Methods We conducted a retrospective cohort study collecting data on 7,966 injured patients presenting to Sawanpracharak Hospital between January 1, 2020 and December 31, 2020. The accuracy of MOPH ED triage and TRISS were assessed using areas under the curve (AUC) and accuracy analysis of diagnostic tests.

Results MOPH ED triage and TRISS were both accurate in predicting survival outcome of injured patients; the AUC of MOPH ED Triage was 0.822 95%CI [0.741-0.903] and AUC of TRISS was 0.908 95%CI [0.860-0.956], with TRISS having a statistically significantly higher accuracy compared to MOPH ED triage, p-value 0.001.

Conclusions Both Thai National Triage Guideline and TRISS can accurately predict survival outcomes in injured patients. Therefore, Survival outcomes and TRISS could be used as a tool to evaluate the accuracy of triage in injured patients.

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