A New Characterization of Injury Severity

Champion, Howard R.; Copes, Wayne S.; Sacco, William J.; Lawnick, Mary M.; Bain, Larry W.; Gann, Donald S.; Gennarelli, Thomas A.; MacKenzie, Ellen J.; Schwaitzberg, Steven D.

doi:10.1097/00005373-199005000-00003

Cited by 353 publications

(191 citation statements)

References 0 publications

Supporting

Mentioning

169

Contrasting

Unclassified

Order By: Relevance

“…8 These codes represent minor injuries, such as superficial wounds and minor orthopedic injuries, that have been found not to contribute significantly to mortality predictions. 8 Burns and burn-related injuries were also excluded from the reclassification scheme, as the predictive model was not intended to estimate severity of burns nor predict burn mortality. A list of the injury categories and their corresponding ICD-9-CM codes can be found in Table 1.…”

Section: Methodsmentioning

confidence: 99%

“…1 Since then, there have been numerous attempts to develop a scoring system that can accurately reflect the severity of a patient's injuries, particularly with respect to the effect of those injuries on survival. [2][3][4][5][6][7][8][9] However, these scoring systems have attributes that limit their ability to reliably predict mortality. First, there is often a loss of information.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Harborview Assessment for Risk of Mortality: An Improved Measure of Injury Severity on the Basis of ICD-9-CM

West

Rivara

Cummings

et al. 2000

The Journal of Trauma: Injury, Infection, and Critical Care

View full text Add to dashboard Cite

show abstract

Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

Harborview Assessment for Risk of Mortality: An Improved Measure of Injury Severity on the Basis of ICD-9-CM

West

Rivara

Cummings

et al. 2000

The Journal of Trauma: Injury, Infection, and Critical Care

View full text Add to dashboard Cite

show abstract

“…The Injury Severity Score (ISS) [13] and the New Injury Severity Score (NISS) [14] were used to define the severity of trauma. The Acute Physiology and Chronic Health Evaluation, APACHE II [15] score, was used to evaluate the overall physiological impairment of the patient.…”

Section: Trauma Scoring Systemsmentioning

confidence: 99%

Independent Predictors of Early Death of Polytrauma Patients: An Analysis of 696 Patients

Mica

Albrecht²,

Keel³

et al. 2012

J Trauma Treatment

View full text Add to dashboard Cite

Polytrauma patients are at high risk to die due to acute physiological deterioration after a high injury load within the first hours. Trauma scores such as ISS, NISS and APACHE II and laboratory parameters were collected at admission. The aim of this study was to evaluate the independent predictors of early death of the polytrauma patient. A total of 696 patients (age 40.8 ± 15.5 years) who had an ISS 17 and were admitted to a trauma center within the first 24 hours after trauma were included into this retrospective study. The patients were subdivided into survivors and those who died within the first 72 hours. ISS, NISS and APACHE II score, and laboratory parameters such as lactate, prothrombin time, pH-value, hematocrite, middle arterial pressure and platelets were collected at admission time. Data were compared with Mann-Whitney test and 2-test for proportions. The data were considered as significant if p < 0.05. Predictive ability was evaluated by using receiver operating characteristic curves. Independent predictors were analyzed by logistic regression analysis. Significantly increased values of ISS, NISS, APACHE II and serum lactate, and significantly decreased values of prothrombin time, middle arterial pressure, hematocrite, Platelets and pH-value were found in the non-survivor group (p < 0.001). APACHE II, NISS, ISS score and the prothrombin time were found to be independent predictive values of death. Early recognition of the risk of death followed by multidisciplinary resuscitation efforts could lead to a better survival rate in the population of polytrauma patients.

show abstract

“…[12] The RTS is largely dependent on the Glasgow Coma Scale (GCS), which is influenced by cranial trauma. [13] The TRISS reflects the possibility of survival and is calculated using the ISS, RTS, and age of the subject. [14] In a study conducted by Hanna et al [7] that focused on which factors increased mortality rates, the authors found that an ISS of >15 and traumatic cranial damage were the culprits.…”

Section: Discussionmentioning

confidence: 99%

Factors affecting mortality in traumatic diaphragmatic ruptures

Tarladacalisir¹

2014

Turk Gogus Kalp Dama

View full text Add to dashboard Cite

Amaç: Bu çalışmada diyafram rüptürü nedeni ile cerrahi uygulanan hastalarda mortaliteyi ekileyen olası faktörler araştırıldı. Ça lış mapla nı:Mayıs 1997 -Mayıs 2009 tarihleri arasında toplam 30 hasta (27 erkek, 3 kadın; ort. yaş 42.6 yıl; dağı-lım 16-88 yıl) diyafram rüptürü nedeni ile kliniğimizde ameliyat edildi. Hastalar mortaliteyi etkileyen olası faktör-ler açısından retrospektif olarak değerlendirildi. Yirmi iki hastaya acil cerrahi girişim ilk yedi günde uygulandı. Diğer altı hasta latent fazda ve iki hasta obstrüktif fazda ameliyat edildi. Bul gu lar: Dokuz hastaya torakotomi, dokuz hastaya laparotomi ve 12 hastaya torakotomi ve laparotomi yapıldı. Sekiz hastaya eksploratif laparotomi ile tanı konuldu. Hastanede kalış süresi ortalama 12 gün (1-50 gün) idi. Sekiz hastada morbidite (%27) görülür iken, yedi hastada (%23) mortalite görüldü. Beş hastada eşlik eden yaralanma bulunamaz iken, 25 hastada eşlik eden yaralanmalar vardı. Bu hastaların 16'sında (%53) eşlik eden yaralanmalar için ek cerrahi girişimler gerekti. İleri yaş (p= 0.020) ve daha uzun süre yoğun bakım ihtiyacı olması (p= 0.020) mortaliteyi negatif yönde etkileyen faktörler olarak bulundu. So nuç:Eşlik eden organ yaralanmaları morbidite ve mortaliteyi etkileyen ana prognostik faktördür. İleri yaş ve travmatik diyafram rüptürüne eşlik eden organ yaralanması olan hastaların mekanik ventilatörden erken ayrılması, agresif tedavi ve yakın takibi, morbidite ve mortaliteyi azaltabilir.Anah tar söz cük ler: Diyafram; mortalite; rüptür; travma.Background:This study aims to investigate possible factors affecting mortality in patients with traumatic diaphragmatic ruptures. Methods: Between May 1997 and May 2009 a total of 30 patients (27 males, 3 females; mean age 42.6 years; range 16 to 88 years) were operated in our clinic with a diagnosis of traumatic diaphragmatic rupture. The patients were evaluated retrospectively in terms of possible factors affecting mortality. Emergency surgery was performed 22 patients within the first seven days. Other two patients were operated in the latent phase and six patients were operated in the obstructive phase. Results: Thoracotomy was performed in nine patients, laparotomy in nine patients and thoracotomy + laparotomy in 12 patients. Eight patients were diagnosed by explorative laparotomy. The mean duration of hospitalization was 12 days (range, 1-50 days). Morbidity was observed in eight patients (27%), while mortality was seen in seven patients (23%). Five patients had no associated pathology, while various associated pathologies were observed in 25 patients. Additional surgical interventions were required for associated pathologies in 16 of these patients (53%). Older age (p=0.020) and need for longer length of stay in the intensive care unit (p=0.020) were found to be negative prognostic factors affecting mortality. Conclusion: Associated organ injuries are the main prognostic factors which affect morbidity and mortality. Early weaning from mechanical ventilation, aggressive treatment and close follow-up of pati...

show abstract

A New Characterization of Injury Severity

Cited by 353 publications

References 0 publications

Harborview Assessment for Risk of Mortality: An Improved Measure of Injury Severity on the Basis of ICD-9-CM

Harborview Assessment for Risk of Mortality: An Improved Measure of Injury Severity on the Basis of ICD-9-CM

Independent Predictors of Early Death of Polytrauma Patients: An Analysis of 696 Patients

Factors affecting mortality in traumatic diaphragmatic ruptures

Contact Info

Product

Resources

About