A Comparison of Injury Severity Score and Disposition Between Pediatric and Adult Patients Transported to a Rural Trauma Center Via Helicopter

2020 ◽  
pp. 000313482095148
Author(s):  
Edward C. Gray ◽  
Megan A. Quinn ◽  
John B. Yarger ◽  
Seth A. Brown ◽  
J. Bracken Burns
Keyword(s):  
Injury Severity Score ◽  
Severity Score ◽  
Trauma Center ◽  
Injury Severity ◽  
Adult Patients

Farm Accidents in Children

PEDIATRICS ◽  
1985 ◽  
Vol 76 (4) ◽  
pp. 562-566
Author(s):  
Thomas H. Cogbill ◽  
Henry M. Busch ◽  
Gary R. Stiers
Keyword(s):  
Injury Severity Score ◽  
Severity Score ◽  
Trauma Center ◽  
Injury Severity ◽  
Educational Programs ◽  
Mechanism Of Injury ◽  
Optimal Outcome ◽  
Safety Measures ◽  
Life Threatening

During a 6½ year period, 105 children were admitted to the hospital as the result of trauma that occurred on farms. The mechanism of injury was animal related in 42 (40%), tractor or wagon accident in 28 (26%), farm machinery in 21 (20%), fail from farm building in six (6%), and miscellaneous in eight (8%). Injury Severity Score was calculated for each patient. An Injury Severity Score of greater than or equal to 25 was determined for 11 children (11%). Life-threatening injuries, therefore, are frequently the result of childhood activities that take place in agricultural environments. The most common injuries were orthopedic, neurologic, thoracoabdominal, and maxillofacial. There was one death in the series, and only one survivor sustained major long-term disability. Such injuries are managed with optimal outcome in a regional trauma center. Educational programs with an emphasis on prevention and safety measures may reduce the incidence of farm accidents.

scholarly journals Early experience of a regional trauma center in Gangwon province: First step toward organizing a regional trauma system

2019 ◽  
Vol 27 (4) ◽  
pp. 202-210
Author(s):  
Kwangmin Kim ◽  
Hongjin Shim ◽  
Pil Young Jung ◽  
Seongyup Kim ◽  
Hui-Jae Bang ◽  
...  
Keyword(s):  
Hospital Mortality ◽  
Injury Severity Score ◽  
Severity Score ◽  
Trauma Center ◽  
Injury Severity ◽  
Trauma System ◽  
Mortality Rates ◽  
Trauma Patients ◽  
Before And After ◽  
The Impact

Background: The Korean Ministry of Health and Welfare decided to establish a trauma medical service system to reduce preventable deaths. OO hospital in Gangwon Province was selected as a regional trauma center and was inaugurated in 2015. Objectives: This study examines the impact of this center, comparing mortality and other variables before and after inaugurating the center. Methods: Severely injured patients (injury severity score > 15) presenting to OO hospital between January 2014 and December 2016 were enrolled and categorized into two groups: before trauma center (n = 365) and after trauma center (n = 904). Patient characteristics, variables, and patient outcomes (including mortality rate) before and after the establishment of trauma centers were compared accordingly for both groups. Risk factors for in-hospital mortality were also identified. Results: Probability of survival using trauma and injury severity score (%) method was significantly lower in the after trauma center group (81.3 ± 26.1) than in the before trauma center group (84.7 ± 21.0) (p = 0.014). In-hospital mortality rates were similar in both groups (before vs after trauma center group: 13.2% vs 14.2%; p = 0.638). The Z and W statistics revealed higher scores in the after trauma center group than in the before trauma center group (Z statistic, 4.69 vs 1.37; W statistic, 4.52 vs 2.10); 2.42 more patients (per 100 patients) survived after trauma center establishment. Conclusion: Although the mortality rates of trauma patients remained unchanged after the trauma center establishment, the Z and W statistics revealed improvements in the quality of care.

scholarly journals Comparison of ISS, NISS, and RTS score as predictor of mortality in pediatric fall

2017 ◽  
Vol 5 ◽  
Author(s):  
Kapil Dev Soni ◽  
Santosh Mahindrakar ◽  
Amit Gupta ◽  
Subodh Kumar ◽  
Sushma Sagar ◽  
...  
Keyword(s):  
Injury Severity Score ◽  
Severity Score ◽  
Trauma Center ◽  
Injury Severity ◽  
Trauma Registry ◽  
Receiver Operating Curve ◽  
Inhospital Mortality ◽  
Level 1 ◽  
Trauma Score ◽  
Level 1 Trauma Center

Abstract Background Studies to identify an ideal trauma score tool representing prediction of outcomes of the pediatric fall patient remains elusive. Our study was undertaken to identify better predictor of mortality in the pediatric fall patients. Methods Data was retrieved from prospectively maintained trauma registry project at level 1 trauma center developed as part of Multicentric Project—Towards Improving Trauma Care Outcomes (TITCO) in India. Single center data retrieved from a prospectively maintained trauma registry at a level 1 trauma center, New Delhi, for a period ranging from 1 October 2013 to 17 February 2015 was evaluated. Standard anatomic scores Injury Severity Score (ISS) and New Injury Severity Score (NISS) were compared with physiologic score Revised Trauma Score (RTS) using receiver operating curve (ROC). Results Heart rate and RTS had a statistical difference among the survivors to nonsurvivors. ISS, NISS, and RTS were having 50, 50, and 86% of area under the curve on ROCs, and RTS was statistically significant among them. Conclusions Physiologically based trauma score systems (RTS) are much better predictors of inhospital mortality in comparison to anatomical based scoring systems (ISS and NISS) for unintentional pediatric falls.

Blood Utilization at a Level I Trauma Center: Is this as Good as it Gets?

2009 ◽  
Vol 75 (8) ◽  
pp. 693-698
Author(s):  
Sebron W. Harrison ◽  
Russell L. Griffin ◽  
Jeffrey D. Kerby ◽  
Marisa B. Marques ◽  
Loring W. Rue ◽  
...  
Keyword(s):  
Injury Severity Score ◽  
Severity Score ◽  
Trauma Center ◽  
Injury Severity ◽  
Negative Binomial ◽  
Negative Binomial Regression ◽  
Trauma Patients ◽  
Severely Injured ◽  
Level I ◽  
Rbc Transfusion

Recognition of the adverse effects of allogeneic blood resulted in the decreased use of red blood cell (RBC) transfusion in surgical practice in the 1990s. Our objective was to evaluate patterns of RBC transfusion utilization among trauma patients during the current decade. Blunt trauma patients admitted to a regional trauma center between 2000 and 2007 were identified (n = 16,011). Annual trends in RBC utilization were estimated (negative binomial regression for continuous dependent variables and logistic regression for dichotomous variables). Models were stratified by Injury Severity Score to adjust for injury severity. Although the proportion of patients receiving a blood transfusion within 48 hours of hospitalization significantly increased ( P < 0.0001), there was no significant change in the rate of units transfused ( P = 0.5152) among transfused patients. After stratification by Injury Severity Score, a significantly decreasing trend in the proportion of severely injured patients transfused was observed ( P = 0.0243). Annual variation in the relatively less injured groups was not significant. In the current decade, transfusion utilization at a Level I trauma center has demonstrated minimal variation on a year-to-year basis. Among the severely injured, the temporal decrease in relatively early utilization of RBC transfusion may reflect increasing inclination to accept a greater degree of anemia in higher acuity patients.

Lethal abdominal gunshot wounds at a level I trauma center: analysis of TRISS (revised trauma score and injury severity score) fallouts

1998 ◽  
Vol 187 (2) ◽  
pp. 123-129 ◽  
Author(s):  
Edward E. Cornwell ◽  
George C. Velmahos ◽  
Thomas V. Berne ◽  
Raymond Tatevossian ◽  
Howard Belzberg ◽  
...  
Keyword(s):  
Injury Severity Score ◽  
Severity Score ◽  
Trauma Center ◽  
Injury Severity ◽  
Gunshot Wounds ◽  
Revised Trauma Score ◽  
Level I ◽  
Trauma Score ◽  
Abdominal Gunshot Wounds
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