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Titolo:
Validation of the International Classification of Diseases 10th Edition-based Injury Severity Score (ICISS)
Autore:
Kim, Y; Jung, KY; Kim, CY; Kim, YI; Shin, Y;
Indirizzi:
Seoul Natl Univ, Coll Med, Dept Hlth Policy & Management, Seoul, South Korea Seoul Natl Univ Seoul South Korea licy & Management, Seoul, South Korea Ewha Womans Univ, Dept Emergency Med, Coll Med, Seoul 120750, South Korea Ewha Womans Univ Seoul South Korea 120750 Med, Seoul 120750, South Korea
Titolo Testata:
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE
fascicolo: 2, volume: 48, anno: 2000,
pagine: 280 - 285
Fonte:
ISI
Lingua:
ENG
Soggetto:
TRAUMA PATIENTS; ICD-9 CODES; ROC CURVE; SURVIVAL; PREDICTORS; PROBABILITY; OUTPERFORMS; LENGTH; TRISS; MODEL;
Keywords:
ICISS; ICD-10; Injury Severity Score; validity;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
21
Recensione:
Indirizzi per estratti:
Indirizzo: Jung, KY Ewha Womans Univ, Dept Emergency Med, Mokdong Hosp, Yangcheonku, 911-1 Mokdong, Seoul 158056, South Korea Ewha Womans Univ 911-1 Mokdong Seoul South Korea 158056 th Korea
Citazione:
Y. Kim et al., "Validation of the International Classification of Diseases 10th Edition-based Injury Severity Score (ICISS)", J TRAUMA, 48(2), 2000, pp. 280-285

Abstract

Objective: To compare the predictive power of international Classificationof Diseases 10th Edition (ICD-10) -based International Classification of Diseases 9th Edition-based Injury Severity Score (ICISS) with Trauma and Injury Severity Score (TRISS) and ICD-9CM- based ICISS in the injury severity measure. Methods: ICD-10 version of survival risk ratios was derived from 47,750 trauma patients from 35 emergency centers for 1 year. The predictive power ofTRISS, the ICD-9CM-based ICISS and ICD-10-based ICISS were compared in a group of 367 severely injured patients admitted to two university hospitals. The predictive power was compared by using the measures of discrimination (disparity, sensitivity, specificity, misclassification rates, and receiveroperating characteristic curve analysis) and calibration (Hosmer-Lemeshow goodness-of-fit statistics), all calculated by logistic regression procedure. Results: ICD-10-based ICISS showed a lower performance than TRISS and ICD-9CM-based ICISS, When age and Revised Trauma Score were incorporated into the survival probability model, however, ICD-10-based ICISS full model showed a similar predictive power compared with TRISS and ICD-9CM-based ICISS full model, ICD-10-based ICISS had some disadvantages in predicting outcomes among patients with intracranial injuries. However, such weakness,vas largely compensated by incorporating age and Revised Trauma Score in the model. Conclusion: The ICISS methodology can be extended to ICD-10 horizon as a standard injury severity measure in the place of TRISS, especially when age and Revised Trauma Score were incorporated in the model. For patients with intracranial injuries, the predictive power of ICD-10-based ICISS was relatively low because of differences in the classifying; system between ICD-10 and ICD-9CM.

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Documento generato il 01/12/20 alle ore 01:01:55