Predictive capacity of trauma indices for hospitalization and intensive care unit admission

Abstract

Objective: To compare the performance of trauma severity indices (ISS, NISS, REMS, mREMS) in predicting hospital and Intensive Care Unit (ICU) admission outcomes. Method: Retrospective cohort study carried out with patients treated at the Emergency Room of a private hospital from January 2020 to January 2022. Medical records of adults with blunt, penetrating, or mixed trauma admitted up to 24 hours after the trauma were analyzed. Severity indices were used to predict hospital and ICU admission. Results: The sample consisted of 151 patients. The ISS and NISS showed good discrimination capacity for hospital and ICU admission (AUC/ROC from 0.84 to 0.85). The REMS and mREMS indices showed insufficient performance (AUC/ROC from 0.62 to 0.67). Conclusion: The ISS and NISS indices were effective in predicting hospital and ICU admission and can be used in clinical practice, however, the use of REMS and mREMS cannot be recommended due to insufficient performance for these outcomes.