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European Journal of Trauma and Emergency Surgery

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Open Access 01-02-2022 | Polytrauma | Original Article

mTICCS and its inter-rater reliability to predict the need for massive transfusion in severely injured patients

Authors: Klemens Horst, Philipp Lichte, Felix Bläsius, Christian David Weber, Martin Tonglet, Philipp Kobbe, Nicole Heussen, Frank Hildebrand

Published in: European Journal of Trauma and Emergency Surgery | Issue 1/2022

Abstract

Purpose

The modified Trauma-Induced Coagulopathy Clinical Score (mTICCS) presents a new scoring system for the early detection of the need for a massive transfusion (MT). This easily applicable score was validated in a large trauma cohort and proven comparable to more established complex scoring systems. However, the inter-rater reliability of the mTICCS has not yet been investigated.

Methods

Therefore, a dataset of 15 randomly selected and severely injured patients (ISS ≥ 16) derived from the database of a level I trauma centre (2010–2015) was used. Moreover, 15 severely injured subjects that received MT were chosen from the same databank. A web-based survey was sent to medical professionals working in the field of trauma care asking them to evaluate each patient using the mTICCS.

Results

In total, 16 raters (9 residents and 7 specialists) completed the survey. Ratings from 15 medical professionals could be evaluated and led to an ICC of 0.7587 (95% Bootstrap confidence interval (BCI) 0.7149–0.8283). A comparison of working experience specific ICC (n = 7 specialists, ICC: 0.7558, BCI: 0.7076–0.8270; n = 8 residents, ICC: 0.7634, BCI: 0.7183–0.8335) showed no significant difference between the two groups (p = 0.67).

Conclusion

In summary, reliability values need to be considered when making clinical decisions based on scoring systems. Due to its easy applicability and its almost perfect inter-rater reliability, even with non-specialists, the mTICCS might therefore be a useful tool to predict the early need for MT in multiple trauma.

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Title: mTICCS and its inter-rater reliability to predict the need for massive transfusion in severely injured patients
Authors: Klemens Horst
Philipp Lichte
Felix Bläsius
Christian David Weber
Martin Tonglet
Philipp Kobbe
Nicole Heussen
Frank Hildebrand
Publication date: 01-02-2022
Publisher: Springer Berlin Heidelberg
Keywords: Polytrauma
Polytrauma
Published in: European Journal of Trauma and Emergency Surgery / Issue 1/2022
Print ISSN: 1863-9933
Electronic ISSN: 1863-9941
DOI: https://doi.org/10.1007/s00068-020-01523-w

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

mTICCS and its inter-rater reliability to predict the need for massive transfusion in severely injured patients

Abstract

Purpose

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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