Value of CRAMS score for assessing prognosis in patients with acute trauma
10.3760/cma.j.issn.1001-8050.2014.08.015
- VernacularTitle:CRAMS评分评估急性创伤患者预后的价值
- Author:
Wenhan GE
;
Bing LI
;
Hailin RUAN
;
Jiayou YANG
;
Fuwen HUANG
- Publication Type:Journal Article
- Keywords:
Injury severity score;
Wounds and injuries;
Hospitalized patients
- From:
Chinese Journal of Trauma
2014;30(8):807-810
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the utility and feasibility of CRAMS score to assess prognosis of patients with acute trauma.Methods A retrospective review of 1 802 patients with acute trauma was conducted to calculate CRAMS and ISS score.Receiver operation characteristic curve (ROC) was used to measure the prognostic role of CRAMS in comparison with ISS.Results Area under the curve (RUC) was 0.885 for CRAMS (95 ％ CI 0.870-0.900) and was 0.792 for ISS (95％ CI 0.773-0.811),with statistical difference of the two scoring systems (Z=4.280,P ＜0.01).To identify patients with potential critical illness,optimal cut-off point was≤7 for CRAMS and≥24 for ISS.CRAMS presented better sensitivity (x2 =16.910,P ＜ 0.01),but lower specificity (x2 =5.260,P ＜ 0.05) and accuracy (x2 =0.693,P ＞ 0.05) for predicting mortality when compared with ISS.Conclusions CRAMS is better than ISS in predicting prognosis for patients with acute trauma and exhibits a high discrimination.RAMS has advantages of simple operation,easy grasping and accurate and timely reflection of illness severity,which facilitates the early detection and treatment of critical illness in inhospital trauma patients.
