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Prehospital Index provides prognosis for hospitalized patients with acute trauma

Authors Ruan H, Ge W, Chen J, Zhu Y, Huang W

Received 20 October 2017

Accepted for publication 24 February 2018

Published 13 April 2018 Volume 2018:12 Pages 561—565

DOI https://doi.org/10.2147/PPA.S154670

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Colin Mak

Peer reviewer comments 2

Editor who approved publication: Dr Naifeng Liu


Hai-lin Ruan,1,* Wen-han Ge,2,* Jian-ping Chen,1 Yuan-qun Zhu,3 Wei Huang1

1Department of Emergency, Fourth Affiliated Hospital of Guangxi Medical University, Liuzhou, Guangxi, 2Department of Emergency, Huai’an Hospital Affiliated with Xuzhou Medical University, Huai’an, Jiangsu, 3Department of Neurology, Fourth Affiliated Hospital of Guangxi Medical University, Liuzhou, Guangxi, China

*These authors contributed equally to this work

Objective: To evaluate the prognostic value of the Prehospital Index (PHI) for hospitalized patients with acute trauma.
Materials and methods: PHI score and the Injury Severity Score (ISS) were determined in 1,802 hospitalized patients with acute trauma. Receiver-operator characteristic (ROC) curves were used to compare the PHI and ISS in subgroups, and corresponding prediction indicators were calculated.
Results: There were significant differences in PHI score and ISS between the survival group and the death group (Z=2.674, P=0.007). The area under the ROC curve was 0.871 (95% CI 0.855–0.886) for PHI score and 0.792 (95% CI 0.773–0.811) for ISS. Optimal cutoff points to determine the risk of critical illness were PHI ≥4 and ISS ≥22. The sensitivity of the PHI was superior to the ISS (χ2=6.975, P=0.008), but the specificity and the accuracy of the PHI and ISS showed no significant difference (P>0.05).
Conclusion: The PHI is valuable in prognostic prediction of hospitalized patients with acute trauma, and it is superior to the ISS. The PHI has such advantages as being simple in operation, easy to learn, capable of reflecting conditions timely and reliably, and suitable for dynamic evaluation and screening for critical patients with trauma.

Keywords: Prehospital Index, trauma, hospitalized patient, Injury Severity Score

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