The injury severity score or the new injury severity score for predicting mortality, intensive care unit admission and length of hospital stay: Experience from a university hospital in a developing country

PurposeTo describe the demographics, mechanism, pattern, and severity of injury, prehospital and hospital care (first 24 hours) and the patient outcome in severely injured children in a NICU. This study was made to complete the study of Swedish children admitted to a paediatric intensive care unit (PICU) due to major trauma in the same region and during the same period.MethodThe medical records of 124 traumatized children (0–16 years of age), admitted to the NICU in Gothenburg 1992–2001, were retrospectively examined. The Injury Severity Score (ISS), Glasgow Paediatric Coma Scale (GSC), Revised Trauma Score (T-RTS/RTS), Paediatric Trauma Score (PTS), Trauma Score Injury Severity Score (TRISS) and Paediatric Risk of Mortality Score (PRISM) estimated the severity of injury.ResultsAbout 7/100 000 children with severe injuries were admitted to the NICU each year from 1992–2001 inclusive. Epidemiology showed a similar pattern as in other OECD countries. Severity of injury was recorded as an ISS median of 17. Mortality rate in our series was 6%.ConclusionMajor trauma with admission to a NICU is rare in Swedish children. With management in conjunction with a pediatric centre, these children have a good survival rate.

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Comparison of the Sequential Organ Failure Assessment, Acute Physiology and Chronic Health Evaluation II scoring system, and Trauma and Injury Severity Score method for predicting the outcomes of intensive care unit trauma patients

The American Journal of Emergency Medicine ◽

10.1016/j.ajem.2011.05.022 ◽

2012 ◽

Vol 30 (5) ◽

pp. 749-753 ◽

Cited By ~ 35

Author(s):

Seong Youn Hwang ◽

Jun Ho Lee ◽

Young Hwan Lee ◽

Chong Kun Hong ◽

Ae Jin Sung ◽

...

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Injury Severity Score ◽

Severity Score ◽

Injury Severity ◽

Health Evaluation ◽

Trauma Patients ◽

Failure Assessment ◽

Score Method ◽

Trauma And Injury

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Severity of trauma victims admitted in intensive care units: comparative study among different indexes

Revista Latino-Americana de Enfermagem ◽

10.1590/s0104-11692009000600017 ◽

2009 ◽

Vol 17 (6) ◽

pp. 1037-1042 ◽

Cited By ~ 7

Author(s):

Lilia de Souza Nogueira ◽

Regina Marcia Cardoso de Sousa ◽

Cristiane de Alencar Domingues

Keyword(s):

Intensive Care ◽

Length Of Stay ◽

Injury Severity Score ◽

Intensive Care Units ◽

Severity Score ◽

Injury Severity ◽

New Injury Severity Score ◽

Saps Ii ◽

Logistic Organ Dysfunction ◽

Trauma Victims

This study compared the performance of the Injury Severity Score (ISS) with the New Injury Severity Score (NISS) and also the Simplified Acute Physiology Score II (SAPS II) with the Logistic Organ Dysfunction System (LODS) in trauma victims, in order to predict mortality and length of stay in Intensive Care Units (ICU), besides identifying which indexes have been the most effective to estimate these results. A retrospective analysis was done in the records of 185 victims admitted in ICU between June and December 2006. None of the four indexes properly discriminated the patients according to length of stay at the ICU. The ISS and the NISS did not show a good discriminating capacity in case of death, but the SAPS II and the LODS presented good performance to estimate mortality at the ICU. Results pointed towards the use of SAPS II and LODS when trauma victims are admitted in an ICU.

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The Effects of the COVID-19 Pandemic on Trauma Presentations in a Level One Trauma Center

The American Surgeon ◽

10.1177/0003134820973715 ◽

2020 ◽

pp. 000313482097371

Author(s):

Aditya K. Devarakonda ◽

Chase J. Wehrle ◽

Fairouz L. Chibane ◽

Peter D. Drevets ◽

Elizabeth D. Fox ◽

...

Keyword(s):

Injury Severity Score ◽

Hospital Stay ◽

Severity Score ◽

Injury Severity ◽

Motor Vehicle ◽

Length Of Hospital Stay ◽

Current Data ◽

Motor Vehicles ◽

Trauma Severity ◽

Alcohol Involvement

Background Over 28 million confirmed cases of COVID-19 have been reported to date, resulting in over 900 000 deaths. With an increase in awareness regarding the virus, the behavior of general population has changed dramatically. As activities such as driving and hospital presentation patterns have changed, our study aimed to assess the differences in trauma case variables before and during the COVID-19 pandemic. Methods Trauma data for the period of March 1st-June 15th were compared for the years 2015-2019 (pre-COVID) and 2020 (COVID). The data were analyzed across the following categories: injury severity score, injury mechanism, motor vehicle crashes (MVCs) vs. other blunt injuries, alcohol involvement, and length of hospital stay. Results The median injury severity score pre-COVID and during COVID was 9, representing no change. There was no difference in overall distribution of mechanism of injury; however, there was a significant decrease in the percentage of MVCs pre-COVID (36.39%) vs. COVID (29.6%, P < .05). Alcohol was significantly more likely to be involved in trauma during COVID-19 ( P < .05). The mean hospital stay increased from 3.87-5.4 days during COVID-19 ( P < .05). Discussion We saw similar results to prior studies in terms of there being no change in trauma severity. Our observation that motor vehicle collisions have decreased is consistent with current data showing decreased use of motor vehicles during the pandemic. We also observed an increase in alcohol-related cases which are consistent with the reported changes in alcohol consumption since the pandemic began.

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