Injury Severity Scoring

Osler, Turner M.; Nelson, Leila S.; Bedrick, Edward J.

doi:10.1046/j.1525-1489.1999.00009.x

Cited by 10 publications

(5 citation statements)

References 35 publications

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“…Finally, the abbreviated injury scale is not immune to criticism. The reliability of the measure has been questioned as scale score determinations may be influenced by the training of medical personnel (MacKenzie et al, 1985;Osler et al, 1999;Salottolo et al, 2009). Medical response and trauma characteristics were used in multivariate models to control for this variation.…”

Section: Discussionmentioning

confidence: 99%

“…A variety of medical scoring scales have been designed and used by trauma centers over the past 50 years to standardize injury severity classifications (Osler, Nelson, & Bedrick, 1999). Available scales have largely been developed by professional medical organizations or committees of physicians who rely primarily on members' experience and judgment in assessing the likelihood of fatality of an injury or injuries to a body region (Baker, O'Neill, Haddon, & Long, 1974;MacKenzie, Shapiro, & Eastham, 1985).…”

Section: Literature Reviewmentioning

confidence: 99%

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Elaborating the Correlates of Firearm Injury Severity: Combining Criminological and Public Health Concerns

Grommon

Rydberg

2014

Victims & Offenders

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This research addresses recent calls to incorporate multidisciplinary approaches in the study of firearm violence by utilizing an elaborated criminal events perspective to explore the correlates of firearm injury severity. A unique dataset of non-fatal firearm injury data are derived from official police reports, allowing the use of a medically-validated measure of injury trauma in place of more typical injury indicators. The relative and collaborative contributions of criminological and public health indicators for explaining variation in levels of injury severity are assessed. Multinomial logit models suggest that critical injuries are more likely among older victims, victims who knew their assailants, and victims who refused to cooperate with police. Additionally, the likelihood of critical victim injuries decreased as the time to report an incident to the police increased. The strongest correlates were measures of incident circumstances and the number of gunshot wounds a victim received. In all, these results reveal that a combination of measures from both fields is needed to provide a deeper understanding of injury severity outcomes.

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Section: Discussionmentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%

Elaborating the Correlates of Firearm Injury Severity: Combining Criminological and Public Health Concerns

Grommon

Rydberg

2014

Victims & Offenders

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“…A few reviews have addressed the predictive performances of injury severity scoring tools [21,23]. However, the methodologies used for selecting studies were unclear, and the interpretation of the results was subjective.…”

Section: Introductionmentioning

confidence: 99%

Systematic review of predictive performance of injury severity scoring tools

Tohira

Jacobs

Mountain

et al. 2012

Scand J Trauma Resusc Emerg Med

120

101

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Many injury severity scoring tools have been developed over the past few decades. These tools include the Injury Severity Score (ISS), New ISS (NISS), Trauma and Injury Severity Score (TRISS) and International Classification of Diseases (ICD)-based Injury Severity Score (ICISS). Although many studies have endeavored to determine the ability of these tools to predict the mortality of injured patients, their results have been inconsistent. We conducted a systematic review to summarize the predictive performances of these tools and explore the heterogeneity among studies. We defined a relevant article as any research article that reported the area under the Receiver Operating Characteristic curve as a measure of predictive performance. We conducted an online search using MEDLINE and Embase. We evaluated the quality of each relevant article using a quality assessment questionnaire consisting of 10 questions. The total number of positive answers was reported as the quality score of the study. Meta-analysis was not performed due to the heterogeneity among studies. We identified 64 relevant articles with 157 AUROCs of the tools. The median number of positive answers to the questionnaire was 5, ranging from 2 to 8. Less than half of the relevant studies reported the version of the Abbreviated Injury Scale (AIS) and/or ICD (37.5%). The heterogeneity among the studies could be observed in a broad distribution of crude mortality rates of study data, ranging from 1% to 38%. The NISS was mostly reported to perform better than the ISS when predicting the mortality of blunt trauma patients. The relative performance of the ICSS against the AIS-based tools was inconclusive because of the scarcity of studies. The performance of the ICISS appeared to be unstable because the performance could be altered by the type of formula and survival risk ratios used. In conclusion, high-quality studies were limited. The NISS might perform better in the mortality prediction of blunt injuries than the ISS. Additional studies are required to standardize the derivation of the ICISS and determine the relative performance of the ICISS against the AIS-based tools.

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“…This was done by merging nine AIS chapters into six groups of injury severity and carefully selecting the most common descriptors covering a range of severity scales in each region of the body [26]. The database was standardized and errors were minimized using various strategies: by exclusive use of drop-down menus and check boxes, minimizing free text entry, and using standardized definitions and injury details.…”

Section: Ict Implementation Frameworkmentioning

confidence: 99%

Development of an mHealth trauma registry in the Middle East using an implementation science framework

Mehmood

Chan

Allen

et al. 2017

Global Health Action

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Background: Trauma registries (TRs) play a vital role in the assessment of trauma care, but are often underutilized in countries with a high burden of injuries. Objectives: We investigated whether information and communications technology (ICT) such as mobile health (mHealth) could enable the design of a tablet-based application for healthcare professionals. This would be used to inform trauma care and acquire surveillance data for injury control and prevention in Oman. This paper focuses on documenting the implementation process in a healthcare setting. Methods: The study was conducted using an ICT implementation framework consisting of multistep assessment, development and pilot testing of an electronic tablet-based TR. The pilot study was conducted at two large hospitals in Oman, followed by detailed evaluation of the process, system and impact of implementation. Results: The registry was designed to provide comprehensive information on each trauma case from the location of injury until hospital discharge, with variables organized to cover 11 domains of demographic and clinical information. The pilot study demonstrated that the registry was user friendly and reliable, and the implementation framework was useful in planning for the Omani hospital setting. Data collection by trained and dedicated nurses proved to be more feasible, efficient and reliable than real-time data entry by care providers. Conclusions: The initial results show the promising potential of a user-friendly, comprehensive electronic TR through the use of mHealth tools. The pilot test in two hospitals indicates that the registry can be used to create a multicenter trauma database.

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Injury Severity Scoring

Cited by 10 publications

References 35 publications

Elaborating the Correlates of Firearm Injury Severity: Combining Criminological and Public Health Concerns

Elaborating the Correlates of Firearm Injury Severity: Combining Criminological and Public Health Concerns

Systematic review of predictive performance of injury severity scoring tools

Development of an mHealth trauma registry in the Middle East using an implementation science framework

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