Publication: Comparison of PreHospital index with MGAP score to determine outcome in trauma patients presented to emergency department Hospital Tengku Ampuan Rahimah Klang, Selangor
| dc.contributor.author | Mustamam, Adila Hana Mohd | |
| dc.date.accessioned | 2026-04-01T04:27:35Z | |
| dc.date.available | 2026-04-01T04:27:35Z | |
| dc.date.issued | 2020 | |
| dc.description.abstract | Background Trauma is one of the leading causes of death worldwide including Malaysia. Death due to trauma is best explained by the Trimodal Death Model, death occurring immediately after trauma, intermediate death several hours after trauma and delayed death. The importance and significance of prehospital score system is to reduce the death rate in the intermediate group which can be prevented if given treatment in a timely manner. Methods This was a cross sectional observational study, using retrospective data from May 2019 till April 2020. A total of 502 patients were recruited, PHI and MGAP scores were calculated based on prehospital clerking done by responder at the scene or en route to the hospital. Convenient sampling was used with the researcher recruiting upon patient arrival in ED and follow up patient until they are discharged or until maximum 30 days post trauma for prolonged hospitalization cases. Results All 502 patient’s data were analysed. Pearson chi square was used to measure the finding of both scores. Both PHI and MGAP score were significant with a p value of <0.01 in determining patient’s general outcome (mortality, morbidity, prolonged hospital stay, major surgery prediction). However, PHI has higher sensitivity and specificity 72.97% and 95.91%, whilst MGAP score is 24.32% and 2.64%. Kappa was used to compare the association between the scores with the standard score to predict individual outcome of mortality, morbidity, prolonged hospital stay and prediction of major surgery. Both scores failed to predict prolonged hospitalization. For major surgery prediction also both scores failed to show significant result and Kappa score was less than 0, MGAP (-0.012) and PHI (0.060). In the prediction of morbidity and mortality PHI score showed slight agreement with ISS score, morbidity (0.299) and mortality (0.431), whilst MGAP showed no agreement for morbidity (-0.051) and mortality (-0.060). Conclusion We conclude that, between both scoring system, PHI has a better specificity and sensitivity in determining the outcome of trauma patients. However, both scores have low to no agreement with ISS score in predicting prolonged hospitalization, major surgery prediction, morbidity, and mortality. PHI can be used as screening tool to facilitate and tighten the management of trauma patients from the scene till arrival of patient to the hospital | |
| dc.identifier.uri | https://erepo.usm.my/handle/123456789/23842 | |
| dc.language.iso | en | |
| dc.subject | Prehospital score | |
| dc.subject | PHI score | |
| dc.title | Comparison of PreHospital index with MGAP score to determine outcome in trauma patients presented to emergency department Hospital Tengku Ampuan Rahimah Klang, Selangor | |
| dc.type | Resource Types::text::thesis::master thesis | |
| dspace.entity.type | Publication | |
| oairecerif.author.affiliation | Universiti Sains Malaysia |