The Lack of Full Correlation Between the Injury Severity Score and the Resource Needs of Injured Patients

Overview

Journal Ann Emerg Med

Specialty Emergency Medicine

Date 1990 Dec 1

PMID 2240752

Citations 25

Authors

W G Baxt

V Upenieks

Affiliations

Soon will be listed here.

Abstract

Study Objective: To determine whether the Injury Severity Score (ISS) correlates with the resource requirements of severely injured patients by studying the association of the ISS with three major interventions (fluid resuscitation, invasive central nervous system monitoring, and acute operative repair) trauma centers routinely provide severely injured patients.

Design: Retrospective clinical review.

Setting: Level I trauma center.

Type Of Participants: Eight hundred fourteen adult injured patients.

Measurements And Main Results: When an ISS of more than 9 was used as the definition of major trauma, the ISS undercorrelated 11% of the time with the need for any one procedure. When an ISS of more than 14 was used as the definition, it undercorrelated 20% of the time.

Conclusion: The ISS may not be completely correlated with the resource requirements of injured patients and should not be used as the sole means by which to define major injury.

Citing Articles

Prospective validation of a hospital triage predictive model to decrease undertriage: an EAST multicenter study.

Biesboer E, Pokrzywa C, Karam B, Chen B, Szabo A, Teng B Trauma Surg Acute Care Open. 2024; 9(1):e001280.

PMID: 38737811 PMC: 11086287. DOI: 10.1136/tsaco-2023-001280.

An assessment of mass casualty triage systems using the Alberta trauma registry.

Jerome D, Savage D, Pietrosanu M CJEM. 2023; 25(8):659-666.

PMID: 37306923 DOI: 10.1007/s43678-023-00529-8.

Parameters influencing health-related quality of life after severe trauma: a systematic review (part II).

Lotfalla A, Halm J, Schepers T, Giannakopoulos G Eur J Trauma Emerg Surg. 2023; 50(1):93-106.

PMID: 37188975 PMC: 10923745. DOI: 10.1007/s00068-023-02276-y.

Accuracy of Prehospital Triage of Adult Patients With Traumatic Injuries Following Implementation of a Trauma Triage Intervention.

Lokerman R, van Rein E, Waalwijk J, van der Sluijs R, Houwert R, Lansink K JAMA Netw Open. 2023; 6(4):e236805.

PMID: 37014639 PMC: 10074221. DOI: 10.1001/jamanetworkopen.2023.6805.

A Canadian consensus-based list of urgent and specialized in-hospital trauma care interventions to assess the accuracy of prehospital trauma triage protocols: a modified Delphi study.

Mercier E, Nadeau A, Le Sage N, Moore L, Malo C, Blanchard P Can J Surg. 2023; 66(2):E181-E188.

PMID: 37001975 PMC: 10069413. DOI: 10.1503/cjs.019920.