The Injury Severity Score

Baker, Susan Pardee; O’Neill, Brian; Haddon, William; Long, William B.

doi:10.1097/00005373-197403000-00001

Cited by 6,603 publications

(448 citation statements)

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“…Specific characteristics included age, gender, race, ethnic group, BMI, insurance status (private; public; none), number of comorbidities, Injury Severity Score (ISS), 16 Abbreviated Injury Scale (AIS) score, 17 Glasgow Coma Scale (GCS) 18 and fracture type. The ISS can be used as a proxy for trauma severity, 19 and is recommended for use in research involving hospital length of stay.…”

Section: Characteristicsmentioning

confidence: 99%

Perioperative and acute care outcomes in morbidly obese patients with acetabular fractures at a Level 1 trauma center

Vincent

Haupt

Tang

et al. 2014

Journal of Orthopaedics

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Section: Characteristicsmentioning

confidence: 99%

Perioperative and acute care outcomes in morbidly obese patients with acetabular fractures at a Level 1 trauma center

Vincent

Haupt

Tang

et al. 2014

Journal of Orthopaedics

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“…The ISS is the sum of the squares of the most severe injury in each of the three most severely injured body regions and is scored on a scale of 1 (least severe) to 75 (most severe) (28). The six body regions on which the ISS is based are head/neck, face, chest, abdomen/pelvic contents, extremities/pelvic girdle, and external.…”

Section: Injury Severitymentioning

confidence: 99%

Evaluation of the effect of intensity of care on mortality after traumatic brain injury

Thompson

Rivara

Jurkovich

et al. 2008

Critical Care Medicine

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Objectives-To evaluate the effect of age on intensity of care provided to traumatically braininjured adults and to determine the influence of intensity of care on mortality at discharge and 12 months postinjury, controlling for injury severity.Design-Cohort study using the National Study on the Costs and Outcomes of Trauma (NSCOT) database. Risk ratio and Poisson regression analyses were performed using data weighted according to the population of eligible patients.Setting and Patients-A total of 18 level 1 and 51 level 2 non-trauma centers located in 14 states in the United States and 1,776 adults aged 25−84 yrs with a diagnosis of traumatic brain injury. Measurements-Injury severity was determined by the motor component of the Glasgow ComaScale score, the Injury Severity Score, pupillary reactivity, and presence of midline shift. Factors evaluated as contributing to intensity of care included: admission to the intensive care unit, mechanical ventilation, placement of an intracranial pressure monitor, placement of a jugular bulb catheter, placement of a pulmonary artery catheter, critical care consultation, the number of specialty care consultations, mannitol use, treatment with barbiturate coma, decompressive craniectomy, number of nonneurosurgical procedures performed, the presence of a do-not-resuscitate order, and withdrawal of therapy.Main Results-Controlling for injury-related factors, sex, and comorbidity, as age increased, the overall likelihood of receiving various interventions decreased. After controlling for injury severity, sex, and comorbidity, factors associated with higher risk of in-hospital death were: being aged 75 −84 yrs (relative risk [RR] 1.32, 95% confidence interval [CI] 1.13, 1.55), pulmonary artery catheter use (RR 1.56, 95% CI 1.30, 1.86), intubation (RR 4.17, 95% CI 2.28, 7.61), the presence of a donot-resuscitate order (RR 3.21, 95% CI 2.21, 4.65), and withdrawal of therapy (RR 2.33, 95% CI 1.69, 3.23). In contrast, a higher number of specialty care consultations (surgical consults: RR 0.63, 95% CI 0.54, 0.74; medical consults: RR 0.87, 95% CI 0.79, 0.95; and other consults: RR 0.43, 95% CI 0.26, 0.69) were associated with decreased risk of death. The results were similar for factors associated with death at 12 months, with the exception that the number of medical consultations was not significant, whereas the number of nonneurosurgical procedures performed was associated with lower risk of death (RR 0.96, 95% CI 0.92, 0.99), as was obtaining critical care consultation services (RR 0.84, 95% CI 0.71, 1.0).Conclusions-There is a lower intensity of care provided to older adults with traumatic brain injury. Although the specific contributions of specialists to patient management are unknown, theirThe authors have not disclosed any potential conflicts of interest.Work for this study was performed at the University of Washington, Seattle, WA. By the year 2030, the number of Americans aged ≥65 will exceed 70 million, doubling current figures (1). Along with this increase in the...

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“…Candidates for this study had anatomical injuries associated with an Injury Severity Score (ISS) between 2-8 and a triage-Revised Trauma Score (t-RTS) of 12. The ISS gives one numerical score that compares multiple injuries across body systems (Baker & O'Neill, 1997). A higher score on the ISS indicates a more severe injury.…”

Section: Study Setting and Samplementioning

confidence: 99%

Psychiatric Disorders in Patients Presenting to the Emergency Department for Minor Injury

Richmond

Hollander²,

Ackerson³

et al. 2007

Nursing Research

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The Injury Severity Score

Cited by 6,603 publications

References 0 publications

Perioperative and acute care outcomes in morbidly obese patients with acetabular fractures at a Level 1 trauma center

Perioperative and acute care outcomes in morbidly obese patients with acetabular fractures at a Level 1 trauma center

Evaluation of the effect of intensity of care on mortality after traumatic brain injury

Psychiatric Disorders in Patients Presenting to the Emergency Department for Minor Injury

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