Avtor/Urednik		Grmec, Štefek; Špindler, Mateja; Hren, Tatjana
Naslov		Pomaže li sustav bodovanja za ocjenu hitnosti Mainz (Mainz Emergency Evaluating Scoring - MEES) u kombinaciji s kapnometrijom (MEESc) prehospitalno u predviđanju ishoda kod traume s ISS > 14?
Tip		članek
Vir		Acta Med Croatica
Vol. in št.		Letnik 61, št. 2
Leto izdaje		2007
Obseg		str. 195-200
Jezik		cro
Abstrakt		Is the Mainz Emergency Evaluating Scoring system (MEES) in combination with capnometry (MEESc) useful in prehospital prediction of outcome in trauma with ISS > 14? Introduction: This prospective study assessed the efficacy of the predicting power for mortality of two different prehospital scoring systems in trauma with ISS > 14. We present an improved Mainz Emergency Evaluating Scoring System (MEES) in combination with capnometry (MEESc). MEESc is a new scoring system. Patients and Methods: In a prehospital setting, the values of MEES and capnometry (initial and final) were collected from each patient. We added final values of partial pressure of end-tidal CO2 (petCO2) to the MEES scoring system and ranked them from 0 to 2 so that the final maximum sum of this scoring system would be 30 without any change in the minimal score being 10. This study was performed over 4 years (from January 2000 to December 2004) and included 114 consecutive patients hospitalized for major trauma with ISS > 14, requiring intubation at the roadside and in whom prehospital petCO2 has been recorded. Patients younger than 16 years and those with severe hypothermia (core temperature less than 30[degrees]C) were excluded from the study. There were 81 males and 34 females, age range 16 to 82, mean 41.8 +/- 16.4 years. For every scoring system, the sensitivity, specifity, correct outcome prediction and area under the ROC curve were determined. Results were compared with McNemar's test and Z score. A significant difference was p < 0.05. Results: For prediction of mortality, the best cutoff points were 20 for MEES and 23 for MEESc. The area under the ROC curve was 0.63 for MEES and 0.81 for MEESc (p < 0.05). Conclusion: There were significant differences between MEES and MEESc. MEESc improved the results of MEES in predicting trauma outcome with ISS < 14. (Abstract truncated at 2000 characters))
Deskriptorji		CARBON DIOXIDE PROGNOSIS WOUNDS AND INJURIES TREATMENT OUTCOME