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Wahyuni, Erna Dwi
Universitas Airlangga Surabaya
Humanities Biochemistry, Genetics & Molecular Biology Chemistry Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

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Effectiveness of Scoring Systems in Preventing Abdominal Trauma Emergencies Dance Nong Daniel nong dance; Sriyono Sriyono; Erna Dwi Wahyuni; Siska Ayu
MAHESA : Malahayati Health Student Journal Vol 6, No 7 (2026): Volume 6 Nomor 7 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i7.23841

Abstract

ABSTRACT Abdominal trauma is one of the leading causes of morbidity and mortality in emergency cases, with an incidence rate of 7-10% of all trauma cases. Accurate and timely assessment is crucial to determine the need for surgical intervention and prevent fatal complications. Evaluating the effect of scoring system-based abdominal assessment instruments on the prevention of emergencies and patient clinical outcomes. A systematic review of quantitative studies was conducted. Full-text articles were retrieved from four databases: Web of Science, ScienceDirect, ProQuest, and PubMed for the period 2020-2025. The keywords used were: Abdominal Trauma OR Abdominal Injury AND Assessment OR Scoring OR Initial Assessment OR Preliminary OR Evaluation AND Emergency. The quality of the studies was assessed using the Joanna Briggs Institute (JBI) criteria. A narrative analysis was conducted to present the effectiveness of scoring-based abdominal assessment in preventing emergencies. A comprehensive analysis of 15 studies evaluated five major scoring systems: CASS, BATSS, ISS, RTS, and TRISS. BATSS showed the best diagnostic performance with excellent surgical intervention prediction capabilities, achieving sensitivity of up to 100% and specificity of nearly 97%. CASS showed wider performance variability but still provided satisfactory prediction accuracy. ISS proved effective in predicting morbidity and mortality, with critical values indicating very high-risk patients. TRISS demonstrated superior performance as a predictor of mortality with near-perfect prediction accuracy, making it a highly reliable instrument for mortality risk stratification. Abdominal assessment instruments based on scoring systems significantly influence the prevention of emergencies through early identification of high-risk patients, optimization of the use of diagnostic modalities such as CT scans, and facilitation of timely clinical decision-making. BATSS shows superiority in predicting the need for surgical intervention, while TRISS excels in predicting mortality. Implementation of this scoring system can improve the quality of triage and initial management of abdominal trauma in the emergency room. Keywords: Abdominal Trauma , Assestment,  Emergency.
Co-Authors Abit Mawan Dayoko Abu Bakar Ah Yusuf, Ah Ah. Yusuf Alfaruq, Muhammad Fikri Alfi Syahri Alit Armini, Ni Ketut Amellia , Vira Amellia Mardhika Ananta Baru Wijaya Andri Setiya Wahyudi Anestasia Pangestu Mei Tyas Anita Dwi Ariyani Arifin, Hidayat Arina Qona'ah Ayu Permata Sari Candra Panji Asmoro, Candra Panji Dance Nong Daniel nong dance Deka Ade Yussmawan Deni Yasmara Devi Rahmaningrum Wardani Diah Lestari, Diah Dimas Satrya Sukma Wijaya Dinda Dhia Aldin Kholidiyah Dwi Ferafurisca Desi Dwi Susi Pristiwatin Edy Nugroho Eka Misbahatul Mar'ah Has Ekawati, Shintia Elok Faradisa Eti Rahmawati Ferry Efendi Fitria, Mawaddah Gunawan Gunawan Gunawan Gunawan Hakim Zulkarnain Hakim Zulkarnain Haris Widodo Harmayetti Harmayetti Harmayetty, Harmayetty Hartono Hartono Hery Sasongko Hidayat Arifin Hikmah Lia Basuni I Ketut Sudiana Ika Nur Pratiwi Ika Yuni Widyawati Indarwati , Retno Intan Widiastuti Joni Haryanto Jujuk Proboningsih, Jujuk Kinanthi Rosyana Klankhajhon, Sirikanok Konita Shafira Krishnasamy, Karthikayini Kristiningrum, Sifira Kurniawati, Ninuk Dian Kusnanto Kusnanto Lailatun Ni'mah Laili, Nadia Rohmatul Lucy Kartika Dewi Lutfiyah, Kharisma Nuur M. Zakariya Mabda Novalia Istafa Made Mahaguna Putra Makhfudli Makhfudli María Pilar Mosteiro-Diaz Maropi, Anuchit Martini Sriwulaningdyah Mosteiro-Diaz, María Pilar Nadia Rohmatul Laily Neisya Pratiwindya Sudarsiwi Nihayati, Hanik Endang Nimah, Lailatun Novita Fajriyah Nursalam . Nursalam Nursalam Nursalam, Nursalam Nurwahyuni, Tutuk Praba Diyan Rachmawati, Praba Diyan Prabawati, Dita Dwi Oktav Primadiana, Dinda Berlian Puspitasary, Novalia Qona'ah , Arina Qona'ah, Arina Ratri Ismiwiranti Rifky Octavia Pradipta Rizki Dwi Cahyono Rizki Dwi Cahyono S.Pd. M Kes I Ketut Sudiana . Safrullah, Safrullah Sena Wahyu Purwanza, Sena Wahyu Setho Hadisuyatmana Silvia Lusiana Suwandi Siska Ayu Soares, Domingos Sriyono Sriyono Sriyono Sriyono Sriyono Sriyono Suadyani, I Ketut Suarilah, Ira Sudarmaji, Wikan Purwihantoro Sukma Randani I Susiana, Endang Tintin Sukartini Sukartini, Tintin Sukartini Wieji Santosa Wikan Purwihantoro Sudarmaji Wimar Anugrah Romadhon Wimar Anugrah Romadhon Wisnu Guntur Prakoso Yahaya, Nor Aziyan Ye, Jia-You Yety Elina Yonia Rafika Nanda Yulis Setiya Dewi Yulmira Tisel Zuhriya, Cholilatul