Prognosis and assessment of the predictive value of severity scores in paediatric abdominal trauma: A French national cohort study
Authors' conclusion
The use of PTS, rSIG and BIG scores are relevant from the acute phase and the pathophysiological interest and accuracy of the BIG score make it a powerful tool for predicting mortality of closed abdominal trauma in children.
Study context
- Population
- Children aged 0 to 18 years with isolated closed abdominal trauma or polytrauma at a French paediatric Level I Trauma Centre, 2015–2019of 1145 screened
- Participants
- 149 children
- Exposure
- Severity scores for predicting mortality
- Outcome
- Mortality
- Follow-up
- 6 months
Methodological detailsobservational, single-centre
- Observational
- Single-centre
Main finding
As reported in the abstract
6-month mortality
Deaths
12
8.1%
Observational data: associations, not effects.
Secondary outcomes
Characteristics of deceased patients
- Severe head injury
- 11 (91.7%)
- Blood products transfusion
- 11 (91.7%)
- Received TXA
- 7
Prediction of mortality by severity scores (ROC analysis)
- Paediatric Trauma Score (PTS), Revised Trauma Score (RTS), rSIG and BIG scores accurately predict mortality, AUCs at least
- 0.92
- BIG score best predictive performance, threshold
- 24.8
- BIG score sensitivity
- 90%
- BIG score specificity
- 92%
- BIG score NPV
- 99%
- BIG score AUC
- 0.93
Original publication
Prognosis and assessment of the predictive value of severity scores in paediatric abdominal trauma: A French national cohort study. Eur J Anaesthesiol. Published 20 May 2024. doi:10.
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