Document Type : Original Article
Authors
1 Assistant professor in Nursing, School of Nursing and Midwifery, Sabzevar University of Medical Sciences, Sabzevar, Iran
2 Master's student in nursing, School of Nursing and Midwifery, Sabzevar University of Medical Sciences, Sabzevar, Iran
3 Associate Professor of Nursing, Department of Nursing and midwifery, Iranian Research Center on Healthy Aging, Sabzevar University of Medical Sciences, Sabzevar, Iran
4 Assistant Professor, Department of Emergency Medicine, Faculty of Medicine, Sabzevar University of Medical Sciences, Sabzevar, Iran
Abstract
objective: Traumatic head injuries are an essential public health problem. The aim of this study is to compare the effectiveness of TRISS and MHIPS in assessing the prognosis of head trauma patients in the emergency department.
Methods: In this descriptive-analytical study (Predictive), 140 head trauma patients referred to the emergency department of Shahid Beheshti Hospital in Sabzevar, Iran, were included in 2023(January to November) under the inclusion criteria and based on a convenient sampling method.The study utilized a demographic information questionnaire, the TRISS, and the MHIPS scale. The collected data were analyzed using Stata 17 software.
Results: The mean age of the injured was 39.72±19.86 years, and 102 (73%) were male. The MHPIS tool had a sensitivity of 92%, a specificity of 86%, a PPV 60%, and a NPV 98% in the hospitalization of a patient in the Intensive Care Unit. Additionally, the MHPIS tool had a sensitivity 89%, specificity 86%, PPV 27%, and NPV 99% in predicting death. The results of the TRISS tool in the patient's hospitalization in the ICU had a sensitivity 81%, a specificity 96%, PPV 81%, and NPV 95%, which had a sensitivity 75%, a specificity of 87%, PPV 26% and a NPV 98% in the death of patients. TRISS and MHIPS tools did not significantly differ in predicting the probability of hospitalization in ICU and death (p value=0. 797).
Conclusion: Both TRISS and MHIPS demonstrated satisfactory predictive value for the outcomes of head trauma patients,neither tool was superior to the other.
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