Severity of trauma victims admitted in intensive care units: comparative study among different indexes

Abstract

This study compared the performance of the Injury Severity Score (ISS) with the New Injury Severity Score (NISS) and also the Simplified Acute Physiology Score II (SAPS II) with the Logistic Organ Dysfunction System (LODS) in trauma victims, in order to predict mortality and length of stay in Intensive Care Units (ICU), besides identifying which indexes have been the most effective to estimate these results. A retrospective analysis was done in the records of 185 victims admitted in ICU between June and December 2006. None of the four indexes properly discriminated the patients according to length of stay at the ICU. The ISS and the NISS did not show a good discriminating capacity in case of death, but the SAPS II and the LODS presented good performance to estimate mortality at the ICU. Results pointed towards the use of SAPS II and LODS when trauma victims are admitted in an ICU.

Nursing Workload in Intensive Care Unit Trauma Patients: Analysis of Associated Factors

“…The mean values of the indexes that measure the severity of the patient’s condition (SAPS II, APACHE II and LODS) are close to those found in other studies that investigated trauma patients admitted to the ICU [15], [16], [18], [22].…”

The Experiences and Consequences of a Multiple Trauma Event from the Perspective of the Patient

“…Analysis of scientific publications in this journal, permitted the identification of articles that analyzed indices of trauma severity (6)(7) and evaluated the quality of life by means of generic instruments (4) , which strengthens the importance and the contribution of this study to the scientific community.…”

I-FABP and L-FABP are early markers for abdominal injury with limited prognostic value for secondary organ failures in the post-traumatic course

“…Our relatively low sample size of only 11 septic patients may not be sufficient to indicate statistically relevant predictive power of I-FABP for sepsis considering the data from Table 2. Additionally, the relation between I-and L-FABP increase and the SAPS-II score indicating mortality as well as assessing the severity of the illness were investigated [30,31]. Here, FABP levels cannot be used to predict mortality and distinguish survivors from non-survivors after major trauma.…”

“…Currently, the Sepsis-related Organ Failure Assessment (SOFA) score is used to describe the risk of organ failure on ICU and also correlates with mortality [28,29]. The Simplified Acute Physiology Score (SAPS-II) assesses the disease severity in surgical ICU patients and provides information about the risk of ICU mortality after trauma [30,31].…”