Systemic Inflammatory Response Syndrome Score at Admission Independently Predicts Mortality and Length of Stay in Trauma Patients

Abstract

Logistic regression analysis confirmed that a SIRS score of 2 was a significant independent predictor of increased mortality and LOS in trauma patients. These data suggest that admission SIRS scoring in trauma patients is a simple tool that may be used as a predictor of outcome and resource utilization.

Systemic Inflammatory Response Syndrome Score and Race As Predictors of Length of Stay in the Intensive Care Unit

“…It is higher, however, than that found in other studies 10,12,13 of patients with acute, life-threatening injuries (29%-35%). Results of similar studies 10,12 have validated severe SIRS as a predictor of hospital length of stay in patients with acute, life-threatening injuries. However, the present study is the only one in which severe SIRS (score of 4) was a predictor of ICU length of stay in patients with acute, life-threatening injuries.…”

“…purpose statements. [10][11][12][13] This makes it useful to inform the design of future studies to determine how other, more hospital-based variables affect the validity of the SIRS score for predicting ICU length of stay. Generalizability is limited to patients with mild, moderate, or severe SIRS (score of 2, 3, or 4).…”

“…[8][9][10][11][12][13][14] The occurrence and severity of SIRS are determined by calculating a SIRS score. This score is increasingly being used to predict injury outcomes.…”

“…Studies have shown validity for the SIRS score in predicting deadly complications seen in the ICU, including infection and sepsis. 8,10,12,13 The predictive validity of the SIRS score for ICU length of stay has not been tested, however.…”

Classifications In Brief: The Tscherne Classification of Soft Tissue Injury

“…This limitation emphasizes the underlying complexity of soft tissue injuries in orthopaedic trauma, suggesting that the external trauma often may not reflect the true extent of injury [36]. Physiologic changes that occur at the microvascular and cellular levels will define the zone of injury and, if not recognized, may propagate to adjacent tissue, potentially affecting patient prognosis and outcomes [21,25,32]. The level of sophistication necessary to fully encapsulate the complexity of this physiologic cascade is unlikely to be well defined by a single classification system.…”