Author/Authors :
Jalilvand, Hadi Department of Epidemiology - Student Research Committee -Faculty of Health - Tabriz University of Medical Sciences, Tabriz, Iran , Sadeghi-Bazargani, Homayoun Road Traffic Injury Research Center - Tabriz University of Medical Sciences, Tabriz, Iran , Nouri Sari, Hassan Emergency Medicine Management Research Center - Rasoul-e-Akram Hospital - Iran University of Medical Sciences, Tehran, Iran , Meshkini, Mohammad Faculty of Medicine - Iran University of Medical Sciences, Tehran, Iran , Kolivand, Pir-Hossein Tehran Emergency Medical Service Center, Tehran, Iran , Ala, Alireza Road Traffic Injury Research Center - Tabriz University of Medical Sciences, Tabriz, Iran , Pourasghar, Faramarz Department of Health Policy and Management - School of Management and Medical informatics -Tabriz University of Medical Sciences, Tabriz, Iran , Ojaghi Haghighi, Hossein Road Traffic Injury Research Center - Tabriz University of Medical Sciences, Tabriz, Iran , Asghari Jafarabadi, Mohammad Road Traffic Injury Research Center - Tabriz University of Medical Sciences, Tabriz, Iran , Rahmani, Farzad Road Traffic Injury Research Center - Tabriz University of Medical Sciences, Tabriz, Iran , Salamati, Peyman Department of Pediatrics -Tehran University of Medical Sciences, Tehran, Iran , Deljavan Anvari, Reza Road Traffic Injury Research Center - Tabriz University of Medical Sciences, Tabriz, Iran , Rajaei Ghafouri, Rouzbeh Road Traffic Injury Research Center - Tabriz University of Medical Sciences, Tabriz, Iran , Sadeghi-Bazargani, Yasin Road Traffic Injury Research Center - Tabriz University of Medical Sciences, Tabriz, Iran , abdi, Mojtaba Student Research Committee - Faculty of Nursing - Iran University of Medical Sciences, Tehran, Iran , Vaezi, Hassan Hospital Emergency Department - Iran Ministry of Health and Medical Education, Tehran, Iran
Abstract :
Background: Despite available trauma scoring (TS) models,
considering the setting characteristics and feasibility issues, there may
be a need to select, develop or adapt a trauma prognostic model to
ensure higher efficacy and system compliance. Upon a national
demand, this study aimed to develop a trauma prognostic scale (TPS)
in compliance with the Iranian health care system.
Methods: A 7-phases methodology will be applied to conduct this study
as following; 1- Identification of trauma severity parameters and scales
predicting mortality from literature, 2- Developing a data collection
tool for research data collection), 3- Data collection in selected
clinical settings, 4- Statistical modeling, 5- Model adaptation with
three levels of trauma care settings including pre-hospitals, general
hospitals and trauma specialty hospitals, 6- Scale-up and
extrapolation, and 7- Comparison with international models and
selection of Iranian national model.
Results: The content validity of the tool was confirmed with a total
scale-level content validity (S-CVI)=0.93. The reliability of the final
instrument was calculated using the Pearson correlation coefficient
and the Spearman correlation was evaluated above 0.7 for all cases.
Up to date April 2020, From the hospital of the study, 210 patients
participated in the study. The mean and standard age deviation of
patients was 35.18±18.44 and 165 (78.57 %) of these patients were
male. The most important cause of trauma in patients was a motorcycle
accident (27.62 %).
Conclusions: We expect this methodology is satisfied with developing
TPS prototypes appropriate for implementation in the Iranian trauma
care system.
