TY - JOUR
T1 - The role of the American Society of anesthesiologists physical status classification in predicting trauma mortality and outcomes
AU - Kuza, Catherine M.
AU - Matsushima, Kazuhide
AU - Mack, Wendy J.
AU - Pham, Christopher
AU - Hourany, Talia
AU - Lee, Jessica
AU - Tran, Thang D.
AU - Dudaryk, Roman
AU - Mulder, Michelle B.
AU - Escanelle, Miguel A.
AU - Ogunnaike, Babatunde
AU - Ahmed, M. Iqbal
AU - Luo, Xi
AU - Eastman, Alexander
AU - Imran, Jonathan B.
AU - Melikman, Emily
AU - Minhajuddin, Abu
AU - Feeler, Anne
AU - Urman, Richard D.
AU - Salim, Ali
AU - Spencer, Dean
AU - Gabriel, Viktor
AU - Ramakrishnan, Divya
AU - Nahmias, Jeffry T.
N1 - Funding Information:
This work was supported by grants UL1TR001855 and UL1TR000130 from the National Center for Advancing Translational Science (NCATS) of the U.S. National Institutes of Health. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.This work was supported by grants UL1TR001855 and UL1TR000130 from the National Center for Advancing Translational Science (NCATS) of the U.S. National Institutes of Health. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. The authors declare no additional conflicts of interest.
Funding Information:
This work was supported by grants UL1TR001855 and UL1TR000130 from the National Center for Advancing Translational Science (NCATS) of the U.S. National Institutes of Health . The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
Publisher Copyright:
© 2019 Elsevier Inc.
PY - 2019/12
Y1 - 2019/12
N2 - Background: Trauma prediction scores such as Revised Trauma Score (RTS) and Trauma and Injury Severity Score (TRISS)) are used to predict mortality, but do not include comorbidities. We analyzed the American Society of Anesthesiologists physical status (ASA PS) for predicting mortality in trauma patients undergoing surgery. Methods: This multicenter, retrospective study compared the mortality predictive ability of ASA PS, RTS, Injury Severity Score (ISS), and TRISS using a complete case analysis with mixed effects logistic regression. Associations with mortality and AROC were calculated for each measure alone and tested for differences using chi-square. Results: Of 3,042 patients, 230 (8%) died. The AROC for mortality for TRISS was 0.938 (95%CI 0.921, 0.954), RTS 0.845 (95%CI 0.815, 0.875), and ASA PS 0.886 (95%CI 0.864, 0.908). ASA PS + TRISS did not improve mortality predictive ability (p = 0.18). Conclusions: ASA PS was a good predictor of mortality in trauma patients, although combined with TRISS it did not improve predictive ability.
AB - Background: Trauma prediction scores such as Revised Trauma Score (RTS) and Trauma and Injury Severity Score (TRISS)) are used to predict mortality, but do not include comorbidities. We analyzed the American Society of Anesthesiologists physical status (ASA PS) for predicting mortality in trauma patients undergoing surgery. Methods: This multicenter, retrospective study compared the mortality predictive ability of ASA PS, RTS, Injury Severity Score (ISS), and TRISS using a complete case analysis with mixed effects logistic regression. Associations with mortality and AROC were calculated for each measure alone and tested for differences using chi-square. Results: Of 3,042 patients, 230 (8%) died. The AROC for mortality for TRISS was 0.938 (95%CI 0.921, 0.954), RTS 0.845 (95%CI 0.815, 0.875), and ASA PS 0.886 (95%CI 0.864, 0.908). ASA PS + TRISS did not improve mortality predictive ability (p = 0.18). Conclusions: ASA PS was a good predictor of mortality in trauma patients, although combined with TRISS it did not improve predictive ability.
KW - ASA PS
KW - Mortality
KW - Outcomes
KW - Predictors
KW - Trauma scores
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U2 - 10.1016/j.amjsurg.2019.09.019
DO - 10.1016/j.amjsurg.2019.09.019
M3 - Article
C2 - 31575418
AN - SCOPUS:85072683656
VL - 218
SP - 1143
EP - 1151
JO - American Journal of Surgery
JF - American Journal of Surgery
SN - 0002-9610
IS - 6
ER -