Comparison of Trauma Scoring Systems In Pediatric Trauma Patients

Objective: We aimed to evaluate and compare the performance of BIG score (Base deficit, INR, GCS),pediatric trauma score(PTS), revised trauma score(RTS),injury severity score(ISS),new injury severity score(NISS) in mortality and stay intensive care unit.
Materials and Methods: 1510 pediatric patients aged less than 18 years who were admitted to the emergency department with multitrauma between 1 July 2012 and 1 July 2016 were included in the retrospective research.Demographic data,vital signs in the emergency department,trauma location,injury severity indexes and follow up of patients were examined.
Results: 1510 patient were included,40.5% were female and 59.5% were male.Mean age was 7.81±4.8;mortality was 4.2%.The best score to evaluate mortality was “Probability of Survival 2014 (PS14)”. The best score to force the stay in ICU was found as NISS, the most sensitive system was NISS and PS14 (94.9%) and the most specific was NISS (86.7). PS14 was the first to evaluate the survival. In our research, 94.3% of patient had blunt trauma and 5.7% had penetrating trauma. PS14 was found the best score to determine survival and mortality for blunt trauma patients.
Conclusion: Although all scoring systems appeared similarly predictive among pediatric trauma patients, The PS14 score was more predictive for mortality and survival, and the NISS score for the need of intensive care admission. The NISS score was the most predictive score for intensive care admission in blunt and penetrating traumas combined. Particularly the newly developed PS14 score can be used as a powerfully predictive scoring system for outcomes among all pediatric trauma patients, irrespective of trauma mechanism.