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This study aims to evaluate the effectiveness of different trauma scoring systems in predicting mortality among patients with high-energy trauma.

July 26, 2026Journal of Clinical MedicineOpen Access

Predictive Performance of Trauma Scoring Systems for Mortality in Patients with High-Energy Trauma in the Emergency Department

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This study aims to evaluate the effectiveness of different trauma scoring systems in predicting mortality among patients with high-energy trauma.
Prospective observational study involving 277 adult patients with high-energy trauma in a tertiary emergency department.
Performance of ISS, TRISS, REMS, and Shock Index assessed using ROC analysis for 24-h and 28-day mortality.
Multivariable logistic regression analysis to identify factors affecting 28-day mortality.
24-h mortality rate was 1.4% (4/277), and 28-day mortality rate was 5.4% (15/277).
TRISS had an AUC of 0.939 for predicting 28-day mortality, while REMS and ISS had AUCs of 0.907 and 0.900, respectively; Shock Index had a significantly lower AUC of 0.696.
Factors associated with higher odds of 28-day mortality included antiplatelet therapy, abdominal trauma, head and neck trauma, any comorbidity, and age ≥ 65.

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Implication

Prospective observational study compares trauma scoring systems for predicting mortality in high-energy trauma patients, highlighting performance differences.

Cite This Study

Ay et al. (2026) studied this question.

synapsesocial.com/papers/6a65a8c9d3aea3239cd78f50 https://doi.org/10.3390/jcm15155791

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Implication

Prospective observational study compares trauma scoring systems for predicting mortality in high-energy trauma patients, highlighting performance differences.

Predictive Performance of Trauma Scoring Systems for Mortality in Patients with High-Energy Trauma in the Emergency Department

Key Points

Discussion

Implication

Cite This Study

Predictive Performance of Trauma Scoring Systems for Mortality in Patients with High-Energy Trauma in the Emergency Department

Key Points

Discussion

Implication

Cite This Study

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