In the recent years, National Early Warning Score2 (NEWS2) is utilized to predict early on, the worsening of clinical status in patients. To this date the predictive accuracy of National Early Warning Score (NEWS2), Revised Trauma Score (RTS), and Trauma and injury severity score (TRISS) regarding the trauma patients’ mortality rate have not been compared. Therefore, the objective of this study is comparing NEWS2, TRISS, and RTS in predicting mortality rate in trauma patients based on prehospital data set. This cross-sectional retrospective diagnostic study performed on 6905 trauma patients, of which 4191 were found eligible, referred to the largest trauma center in southern Iran, Shiraz, during 2022–2023 based on their prehospital data set in order to compare the prognostic power of NEWS2, RTS, and TRISS in predicting in-hospital mortality rate. Patients are divided into deceased and survived groups. Demographic data, vital signs, and GCS were obtained from the patients and scoring systems were calculated and compared between the two groups. TRISS and ISS are calculated with in-hospital data set; others are based on prehospital data set. A total of 129 patients have deceased. Age, cause of injury, length of hospital stay, SBP, RR, HR, temperature, SpO2, and GCS were associated with mortality (p-value < 0.001). TRISS and RTS had the highest sensitivity and specificity respectively (77.52, CI 95% [69.3–84.4] and 93.99, CI 95% [93.2–94.7]). TRISS had the highest area under the ROC curve (0.934) followed by NEWS2 (0.879), GCS (0.815), RTS (0.812), and ISS (0.774). TRISS and NEWS were superior to RTS, GCS, and ISS (p-value < 0.0001). This novel study compares the accuracy of NEWS2, TRISS, and RTS scoring systems in predicting mortality rate based on prehospital data. The findings suggest that all the scoring systems can predict mortality, with TRISS being the most accurate of them, followed by NEWS2. Considering the time consumption and ease of use, NEWS2 seems to be accurate and quick in predicting mortality based on prehospital data set.

Background and Aims: Trauma remains a significant contributor to global mortality rates, with abdominal trauma being a prevalent diagnosis among traumatic patients and often leading to substantial mortality rates. The objective of this study was to investigate the nature of abdominal trauma, ascertain associated injury characteristics, and identify independent factors associated with mortality in patients referred to a level‐one trauma center located in the southern region of Iran. Methods: This cross‐sectional study was conducted at the largest trauma center in the southern region of Iran from June 2018 to June 2021. The study included all adult patients diagnosed with abdominal trauma based on the criteria outlined in the Abbreviated Injury Scale guidelines. Data were collected on patient characteristics, injury anatomy, injury mechanism, duration of hospitalization, blood pressure levels, injury severity, and outcomes. Results: The study analyzed 844 cases among 4755 individuals admitted to the emergency department (17.75% prevalence) with an 18.40% mortality rate. Liver injuries were associated with increased mortality, while spleen injuries, although common, were not. Most patients were male, with an average age of 36. The most common causes were road traffic accidents and falls, with blunt trauma being predominant. Variables with observed association with mortality included age ( p value < 0.001, OR = 1.057), GCS = 3–8 ( p value < 0.001, OR = 10.780), retroperitoneal hemorrhage ( p value < 0.001, OR = 3.052), higher ISS ( p value < 0.001, OR = 1.039), and length of hospital stay ( p value = 0.002, OR = 0.974). Conclusion: This study highlights the significant burden of abdominal trauma on mortality rates in traumatic patients. Understanding the nature and predictors of abdominal trauma can help improve outcomes and guide future interventions in trauma care.

: Basidiobolomycosis is an uncommon fungal infection that has been reported in the literature mainly as a cause of infection in the skin and subcutaneous tissue. Intraabdominal infections have been reported in tropical and subtropical areas in the Middle East, such as Iran and Saudi Arabia, and in the United States. Our patient was a 6-year-old girl with cystic fibrosis and celiac disease who was referred to our department with a history of chronic abdominal pain. In the imaging studies of the abdomen and pelvis, a large retroperitoneal mass was reported in the right upper part of the abdomen with involvement of the duodenum and the mesentery of the small and large intestines, as well as the superior mesenteric vessels, and was diagnosed as basidiobolomycosis through biopsy. Because of the large unresectable mass, the patient was first treated with antifungal drugs for 2 months and then surgical resection was performed. The main point in the management of these patients is a combination of antifungal therapy and surgical resection. In some patients, complex surgeries such as the Whipple procedure may be performed to appropriately manage intraabdominal infections.