Trauma Scores: Recent Advances

  • Samir M. Fakhry
  • Nadeem A. Khan

Abstract

Trauma scoring systems were initially created for the purpose of field triage and to allow objective comparisons of trauma patient cohorts. Trauma scores have enabled researchers to compare different hospitals, regions, and practices in the delivery of their clinical services. These scoring systems have greatly advanced communication among trauma surgeons, health care workers and researchers by enabling them to interpret data in an objective, uniform, and consistent manner. Scoring systems are designed to enhance effective prehospital triage of trauma patients, organize and improve trauma system resource allocation and utilization, allow accurate comparison of different trauma populations, and serve as quality assurance filters in trauma patient care. Scoring systems may also have potential in the reimbursement arena as acuity adjustment tools.

Keywords

Respiration Stratification Arena OsIers Tepa 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Selected References

  1. Jennet B, Teasdale G, Braakman R, et al. Prognosis of patient with severe head injury. Neurosurgery 1979;4:283–289.PubMedCrossRefGoogle Scholar
  2. Baker SP, O’Neill B, Haddon W, et al. The injury severity score: A method for describing patients with multiple injuries and evaluating emergency care. J. Trauma 1974;14:187–196.PubMedCrossRefGoogle Scholar
  3. Bensard DD, Mclntyre RC, Moore EE, et al. A critical analysis of acutely injured children managed in an adult level I trauma center. J Pediatr Surg 1994;29:11–18CrossRefGoogle Scholar
  4. Bever DL, Veenker DL. An Illness-Injury Severity Index for non-physician emergency medical personnel. EMT J 1979;3:45–49.PubMedGoogle Scholar
  5. Boyd CR, Tolson MA, Copes WS. Evaluating trauma care: The TRISS method. J Trauma 1987;27:370–378.PubMedCrossRefGoogle Scholar
  6. Champion HR, Copes WS, Sacco W, et al. A new characterization of injury severity. J Trauma 1990;30:539–546.PubMedCrossRefGoogle Scholar
  7. Champion HR, Copes WS, Sacco W, et al. Research in trauma outcomes using the MTOS database. AHCPR Grant HS 06721, 1994Google Scholar
  8. Champion HR, Sacco WJ, Copes WS, et al. A revision of the trauma score. J Truama 1989;29:623–629CrossRefGoogle Scholar
  9. Champion HR, Sacco WJ, Carnazzo AJ, et al. The trauma score. Crit Care Med 1981;9:671–676.Google Scholar
  10. Committee on Injury Scaling. The abbreviated injury scale: 1990 revision. Des Plaines, IL: Association for the Advancement of Automotive Medicine, 1990.Google Scholar
  11. Copes WS, Champion HR, Sacco WJ, et al. The Injury Severity Score revisited. J Trauma 1988;28:69–77.PubMedCrossRefGoogle Scholar
  12. Greenspan L, McLellan BA, Greg H. Abbreviated Injury Scale and Injury Severity Score: A scoring chart. J Trauma 1985;25:60–64.PubMedCrossRefGoogle Scholar
  13. Hosmer DW Jr, Lemeshoe S: Applied Logistic Regression. New York: John Wiley & Sons, 1989.Google Scholar
  14. MacKenzie EJ. Injury severity scales: Overview and directions for future research. Am J Emerg Med 1984;2:537–549.PubMedCrossRefGoogle Scholar
  15. Osier T, Baker SP, Long W. NISS: A Modification of injury severity score. The Journal of Trauma: Injury Infection & critical care 1997; 43:922–926.CrossRefGoogle Scholar
  16. Osier T, Rutledge R, Deis J, et al. ICISS: An international classification of disease-9 based injury severity score. J trauma l996;41:380–388.CrossRefGoogle Scholar
  17. Oranato J, Mlinek EJ, Craren EJ, et al. Ineffectiveness of the trauma score and the CRAMS scale for accurately triaging patients to trauma centers. Ann Emerg Med 1985;14:1061–1064PubMedCrossRefGoogle Scholar
  18. Rutledge R, Fakhry S, Baker C, et al. Injury severity grading in trauma patients: A simplified technique based on ICD-9 coding. J Trauma 1993;35:497–507.PubMedCrossRefGoogle Scholar
  19. Tepas JJ, Mollitt DL, Talbert JL, et al. The pediatric trauma score as a predictor of injury severity in the injured child. J pediatric surg 1987;22:14–18.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2002

Authors and Affiliations

  • Samir M. Fakhry
  • Nadeem A. Khan

There are no affiliations available

Personalised recommendations