{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T18:18:04Z","timestamp":1788545884484,"version":"build-2803163510"},"reference-count":17,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2021,2,17]],"date-time":"2021-02-17T00:00:00Z","timestamp":1613520000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Emerg Medicine Australasia"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To assess validity of the STUMBL score in New Zealand for complications of blunt chest trauma without multi\u2010trauma and immediate life\u2010threatening injuries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A multi\u2010centre, retrospective observational study was carried out in five EDs. Area under the receiver operating characteristic curve (AUROC) was calculated for all, early and late complications and ethnic sub\u2010groups. Youden Index generated for each ROC was used to indicate cut scores for risks of complication, ICU admission, prolonged length of stay (LOS) and mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 445 patients were included. AUROC for all complications composite were (0.73, 95% confidence interval [CI] 0.68\u20130.77), mortality (0.92, 95% CI 0.89\u20130.94), ICU admissions (0.78, 95% CI 0.73\u20130.81) and prolonged LOS (0.80, 95% CI 0.76\u20130.83) were calculated. The score performed better in the New Zealand European (P\u0101keh\u0101) sub\u2010group compared to M\u0101ori and Pasifika (AUROC [95% CI]: 0.80 [0.73\u20130.85], 0.69 [0.56\u20130.79], 0.66 [0.46\u20130.82], respectively). Patients with scores &gt;12 were at risk of complications from blunt chest trauma, &gt;15 at risk of prolonged LOS and &gt;18 at risk of ICU admission and mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The STUMBL score at a cut\u2010off of &lt;12 did not predict all complications sufficiently well to recommend for general use in our population. However, a score &gt;15 predicted prolonged LOS and a score &gt;18 predicted mortality sufficiently to be clinically useful for these outcomes. The score is more accurate in New Zealand P\u0101keh\u0101 and needs to be used with caution in M\u0101ori and Pasifika populations. A larger prospective validation is required to further assess the score.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1742-6723.13740","type":"journal-article","created":{"date-parts":[[2021,2,20]],"date-time":"2021-02-20T10:15:07Z","timestamp":1613816107000},"page":"841-847","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Retrospective validation of a risk stratification tool developed for the management of patients with blunt chest trauma (the\n                    <scp>STUMBL<\/scp>\n                    score)"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1333-2018","authenticated-orcid":false,"given":"Saptarshi","family":"Mukerji","sequence":"first","affiliation":[{"name":"Emergency Department Capital and Coast District Health Board  Wellington New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eunicia","family":"Tan","sequence":"additional","affiliation":[{"name":"Department of Surgery Faculty of Medical and Health Sciences, The University of Auckland  Auckland New Zealand"},{"name":"Emergency Department Middlemore Hospital  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charlotte","family":"May","sequence":"additional","affiliation":[{"name":"Emergency Department Auckland City Hospital  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christina","family":"Micanovic","sequence":"additional","affiliation":[{"name":"Emergency Department Tauranga Hospital  Bay of Plenty New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Blakemore","sequence":"additional","affiliation":[{"name":"Emergency Department Tauranga Hospital  Bay of Plenty New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelly","family":"Phelps","sequence":"additional","affiliation":[{"name":"Emergency Department Whakatane Hospital  Whakatane New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannah","family":"Melville","sequence":"additional","affiliation":[{"name":"Emergency Department Capital and Coast District Health Board  Wellington New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1560-1186","authenticated-orcid":false,"given":"Peter","family":"Jones","sequence":"additional","affiliation":[{"name":"Department of Surgery Faculty of Medical and Health Sciences, The University of Auckland  Auckland New Zealand"},{"name":"Emergency Department Auckland City Hospital  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,2,17]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2011.01.004"},{"key":"e_1_2_9_3_1","first-page":"150","article-title":"Thorax trauma severity score: is it reliable for patient's evaluation in a secondary level hospital?","volume":"4","author":"Martinez Casas I","year":"2016","journal-title":"Bull. 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University of Nebraska Medical Centre. [Cited 9 Jan 2019.] Available from URL:http:\/\/gim.unmc.edu\/dxtests\/roc3.htm"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/emermed-2017-206735"},{"key":"e_1_2_9_17_1","first-page":"96","article-title":"Achieving health equity in Aotearoa: strengthening responsiveness to M\u0101ori in health research","volume":"130","author":"Reid P","year":"2017","journal-title":"N. Z. Med. J."},{"key":"e_1_2_9_18_1","unstructured":"StatsNZ. 2018 Census. [Cited 18 Dec 2019.] Available from URL:https:\/\/www.stats.govt.nz\/2018-census\/"}],"container-title":["Emergency Medicine Australasia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1742-6723.13740","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/1742-6723.13740","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1742-6723.13740","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,29]],"date-time":"2023-08-29T18:47:41Z","timestamp":1693334861000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1742-6723.13740"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,2,17]]},"references-count":17,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2021,10]]}},"alternative-id":["10.1111\/1742-6723.13740"],"URL":"https:\/\/doi.org\/10.1111\/1742-6723.13740","archive":["Portico"],"relation":{},"ISSN":["1742-6731","1742-6723"],"issn-type":[{"value":"1742-6731","type":"print"},{"value":"1742-6723","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,2,17]]},"assertion":[{"value":"2020-08-31","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-01-17","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-02-17","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}