Predictive value of trauma index on the prognosis in patients with traumatic spinal cord injury
10.3969/j.issn.1005-6483.2017.01.019
- VernacularTitle:创伤指数对创伤性脊柱损伤患者预后的判断价值
- Author:
Fan LIANG
;
Wei HU
;
Le PENG
- Keywords:
ttrauma index score;
trauma;
spinal cord injury;
prognosis
- From:
Journal of Clinical Surgery
2017;25(1):65-66,67
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the predictive value of trauma index on the prognosis in pa-tients with traumatic spinal cord injury.Methods Enrolled 168 cases of patients with traumatic spinal cord injury,the traumatic index score and the American Spinal Injury Association (ASIA)grade were as-sessed on admission,then followed up for 6 months,the Spearman correlation analysis was performed to a-nalysis the relationship between trauma index and ASIA grade,and Receiver operating curve (ROC)anal-ysis was used to evaluate the relationship between trauma index and prognosis.Results There was a sig-nificant negative correlation between trauma index score and ASIA grade(r =-0.68,P <0.01).A total of 157 cases (93.5%)completed follow-up,the trauma index score had a good predictive value on the traumatic death in these patients,it's sensitivity was 71.4%,specificity was 76.1%,the best cut-off point was 25 points(P <0.01 );Compared with the low score group (<25 points),the high group (≥25 points)showed a lower ASIA grade and higher mortality,the differences were statistically significant (P <0.01).Conclusion The trauma index score was related with the spinal cord injury,and it is a predictive factor of poor prognosis in patients with traumatic spinal cord injury.
