scholarly journals Exploratory Study on Trauma Scoring Systems for SAVE Triage

2020 ◽  
Vol 34 (5) ◽  
pp. 98-103
Author(s):  
Tai-Hwan Uhm ◽  
Jee Hee Kim ◽  
Sang-Kyu Park ◽  
Eun-Jwoo Kwag ◽  
Mi-Sook Kim ◽  
...  
Keyword(s):  
Injury Severity ◽  
Medical Center ◽  
Scoring Systems ◽  
Data Bank ◽  
The United States ◽  
International Classification Of Disease ◽  
Severity Classification ◽  
Trauma Scoring ◽  
Survival Risk

This study examined several trauma scoring systems that serve as the basis for applying the Secondary Assessment of Victim Endpoint (SAVE) severity classification to propose a method that can be applied during triage. By using an exploratory method, data collected from different trauma scoring systems was qualitatively evaluated. First, it was confirmed that the survival risk ratio (SRR) of the International Classification of Disease-based Injury Severity Score (ICISS) can be used for SAVE severity classification. Second, the Korean Trauma Data Bank (KTDB) of the Central Emergency Medical Center does not indicate the SRR of each injury according to the Korean standard classification of disease and cause of death (KCD). Third, the SRR of injuries, from data acquired from the United States can be used for classification of SAVE severity classification. Fourth, the addition of SRR from the KCD to the KTDB can be used for SAVE severity classification.

scholarly journals An Investigation into the Measurement of Workplace Injury Severity

1970 ◽  
Author(s):  
Clare Maslin
Keyword(s):  
New Zealand ◽  
Injury Severity ◽  
The United States ◽  
Workplace Injury ◽  
International Classification Of Disease ◽  
The United Kingdom ◽  
Severity Levels ◽  
Injury Reporting ◽  
Information Manager

Currently, the New Zealand Injury Information Manager, Statistics New Zealand, is scoping possible injury severity thresholds for workplace injury reporting purposes. Severity levels define which injuries to include within different reporting scenarios. This paper investigates methods of measuring workplace injury severity in Australia, the United Kingdom, Canada, the United States, and the widely-accepted quantitative approaches to injury severity levels, the ‘Abbreviated Injury Scale’ (AIS) and the ‘International Classification of Disease-Based Severity Score’ (ICISS), and discusses their application to Statistics New Zealand’s workplace injury reporting.

scholarly journals Orthopedic injuries due to parachute jumping in soldiers and the effect of trauma scoring systems in determining injury level:  A prospective observational study

2020 ◽  
Author(s):  
Taner Sahin ◽  
Sabri Batin
Keyword(s):  
Injury Severity ◽  
Demographic Data ◽  
Military Training ◽  
Scoring Systems ◽  
The Body ◽  
Treatment Methods ◽  
Severity Of Injury ◽  
Common Diagnosis ◽  
Trauma Scoring ◽  
Orthopedic Injuries

Abstract Background During parachute jumping in soldiers, minör or life-threatining majör injuries may be occur in various parts of the body. Various trauma scoring systems have been developed to determine the severity of these injuries. The aim of this study is to determine orthopedic injuries and other injuries due to parachute jumping for military training who admitted to ED and the severity of their injuries using by anatomical and physiological trauma scores (AIS and ISS), to examine applied treatment methods, their hospitalization conditions and the length of hospital stay prospectively over a 44-month period between January 2016 and August 2019. Methods 200 military personnel were included in the study, between the ages of 18-52, who were injured as a result of daytime static parachute jumping for military training. Demographic data such as age, gender, ISS trauma region classification, anatomical injury sites, AIS and ISS scores, diagnosis, treatment methods applied, hospitalization status and duration of hospitalization were examined prospectively in a total of 185 patients. Results Among 184 individuals included in the study, 184 were male and 1 was female. The most common injured body site were 33.5% foot. and the most common diagnosis was 64.3% soft tissue trauma. Considering the treatment methods applied, 51.4% was determined as medication cold application, 42.7% as splint plaster, and 5.9% as surgery. The mean ISS of the patients was 5.16 ± 3.92. The hospitalization rate of patients with a critical AIS score was significantly higher than those with a severe AIS score (p <0.001). Conclusions The use of trauma scoring systems in determining the severity of injury to patients who come to ED due to parachute injury may facilitate treatment selection. Key words: Parachuting injuries, Abbreviated Injury Scale ve Injury Severity Score

Helicopter Transport Use for Trauma Patients Is Decreasing Significantly Nationwide but Remains Overutilized

2018 ◽  
Vol 84 (10) ◽  
pp. 1630-1634 ◽  
Author(s):  
Navpreet K. Dhillon ◽  
Nikhil T. Linaval ◽  
Kavita A. Patel ◽  
Christos Colovos ◽  
Ara Ko ◽  
...  
Keyword(s):  
Injury Severity ◽  
Data Bank ◽  
The United States ◽  
Trauma Patients ◽  
Effective Utilization ◽  
National Trauma ◽  
National Trauma Data Bank ◽  
Minor Injuries ◽  
Helicopter Transportation ◽  
Rapid Transfer

Rapid transfer of trauma patients to a trauma center for definitive management is essential to increase survival. The utilization of helicopter transportation for this purpose remains heavily debated. The purpose of this study was to characterize the trends in helicopter transportations of trauma patients in the United States over the last decade. Subjects with a primary mode of either ground or helicopter transportation were selected from the National Trauma Data Bank datasets 2007 to 2015. Over this period, the proportion of patients transported by a helicopter decreased significantly in a linear fashion from 17 per cent in 2007 to 10.2 per cent in 2015 ( P < 0.001). The overall mortality of this population was 7.6 per cent and remained unchanged over the study period ( P = 0.545). Almost 3 of 10 subjects (29.4%) transported by a helicopter had an Injury Severity Score <9. The proportion of elderly (>65 years) patients requiring helicopter transportation increased by 69.1 per cent, whereas their associated mortality decreased by 21.5 per cent. The use of a helicopter for the transportation of trauma patients has significantly decreased over the last decade without any significant change in mortality, possibly indicating more effective utilization of available resources. Overtriage of patients with minor injuries remained relatively unchanged.

scholarly journals Classification of traumatic brain injury severity using retrospective data

2017 ◽  
Vol 7 (11) ◽  
pp. 23
Author(s):  
Sandra Rogers ◽  
Amber W. Trickey
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Motor Vehicle ◽  
The United States ◽  
Retrospective Data ◽  
Trauma Centers ◽  
Classification Methods ◽  
Severity Classification ◽  
Brain Injured

Objective: Accurate classification of traumatic brain injury (TBI) severity is essential to brain injury research. TBI heterogeneity complicates classification of the injury; is a significant barrier in the design of therapeutic interventions; and results in retrospective data which is difficult to translate. The objective of this study is to describe the differences in two current tools used in the classification of TBI severity, the Glasgow Coma Scale (GCS) and the head Abbreviated Injury Score (AIS), using retrospective data to compare their performance.Methods: Using correlational and descriptive statistics, this study examined two TBI severity classification methods across a large sample of TBI patients (N = 56,131), who were treated at level I and level II trauma centers in the United States and were included in the 2010 National Sample Program (NSP) of the National Trauma Data Bank (NTDB®).Results: The study population was 67% male, 67% non-Hispanic white, treated most often in trauma centers in the South (38%), with blunt trauma (93%) and from non-motor vehicle collisions (MVC’s) (56%). Observation of the AIS classification system demonstrated that it tends to over-score TBI severity compared to the GCS classification. The methods (GCS & AIS) had a weak, inverse relationship with a correlation coefficient (Pearson’s r) of -0.3980, which was significant at p < .001.Conclusions: The current study addressed the difficulties associated with categorizing TBI severity when analyzing retrospective data.  Although AIS is commonly used to classify severity in retrospective data when GCS is unavailable, the relationship between the two scales is relatively unknown. Results show that AIS and GCS are more closely related for severely brain injured patients but in cases of mild and moderate injury, AIS is less predictive of GCS. Since they are often used in conjunction in identifying brain injured severity in retrospective data, researchers cannot be certain that the tools are similarly classifying mild, moderate, and severe injuries. This study reinforces the need for additional TBI severity classification methods, such as neuroimaging techniques and biomarkers.

scholarly journals A Comparative Study Between Two Combat Injury Severity Scores

2021 ◽  
Author(s):  
Rafael García Cañas ◽  
Ricardo Navarro Suay ◽  
Carlos Rodríguez Moro ◽  
Diana M Crego Vita ◽  
Javier Arias Díaz ◽  
...  
Keyword(s):  
Injury Severity Score ◽  
Severity Score ◽  
Injury Severity ◽  
Scoring Systems ◽  
Combat Injury ◽  
New Injury Severity Score ◽  
Severity Scores ◽  
Trauma Scoring ◽  
Combat Casualties ◽  
The Military

ABSTRACT Introduction In recent years, specific trauma scoring systems have been developed for military casualties. The objective of this study was to examine the discrepancies in severity scores of combat casualties between the Abbreviated Injury Scale 2005-Military (mAIS) and the Military Combat Injury Scale (MCIS) and a review of the current literature on the application of trauma scoring systems in the military setting. Methods A cross-sectional, descriptive, and retrospective study was conducted between May 1, 2005, and December 31, 2014. The study population consisted of all combat casualties attended in the Spanish Role 2 deployed in Herat (Afghanistan). We used the New Injury Severity Score (NISS) as reference score. Severity of each injury was calculated according to mAIS and MCIS, respectively. The severity of each casualty was calculated according to the NISS based on the mAIS (Military New Injury Severity Score—mNISS) and MCIS (Military Combat Injury Scale-New Injury Severity Score—MCIS-NISS). Casualty severity were grouped by severity levels (mild—scores: 1-8, moderate—scores: 9-15, severe—scores: 16-24, and critical—scores: 25-75). Results Nine hundred and eleven casualties were analyzed. Most were male (96.37%) with a median age of 27 years. Afghan patients comprised 71.13%. Air medevac was the main casualty transportation method (80.13). Explosion (64.76%) and gunshot wound (34.68%) mechanisms predominated. Overall mortality was 3.51%. Median mNISS and MCIS-NISS were similar in nonsurvivors (36 [IQR, 25-49] vs. [IQR, 25-48], respectively) but different in survivors, 9 (IQR, 4-17) vs. 5 (IQR, 2-13), respectively (P &lt; .0001). The mNISS and MCIS-NISS were discordant in 34.35% (n = 313). Among cases with discordant severity scores, the median difference between mNISS and MCIS-NISS was 9 (IQR, 4-16); range, 1 to 57. Conclusion Our study findings suggest that discrepancies in injury severity levels may be observed in one in three of the casualties when using mNISS and MCIS-NISS.

Emergency Management of Blunt Splenic Injury in Hypotensive Patients

2020 ◽  
Vol 86 (6) ◽  
pp. 690-694
Author(s):  
Robyn Guinto ◽  
Patricia Greenberg ◽  
Nasim Ahmed
Keyword(s):  
Injury Severity ◽  
Splenic Injury ◽  
Data Bank ◽  
The United States ◽  
Multivariate Logistic Regression Model ◽  
Number Of Patients ◽  
Increased Risk ◽  
Group 2 ◽  
Total Splenectomy ◽  
Procedure Type

Objectives The purpose of this study is to examine the outcomes of splenic angioembolization (SAE) as the first modality for nonoperative management (NOM) in hypotensive patients with high-grade splenic injuries. Methods Data were collected from the 2007-2010 National Trauma Data Bank data sets of the United States. The data included patients with massive blunt splenic injuries with an Abbreviated Injury Scale (AIS) of 4 or 5, initial systolic blood pressure ≤90, and who underwent either a total splenectomy or SAE (Group 1 and Group 2, respectively) within 4 hours of hospital arrival. The outcomes of interest are in-hospital mortality and complications. Results Of the 1052 patients analyzed, 996 (94.7%) underwent total splenectomy while 56 (5.3%) underwent SAE. There were significant differences regarding injury mechanism ( P = .01) and the proportion of patients with an AIS of 5 (57.6% vs 39.3% respectively, P = .01). A significantly higher number of patients, however, developed organ space infections (3.9% vs 11.6%, P = .02) in Group 2. The multivariate logistic regression model for mortality, which accounted for demography, Glasgow Coma Scale Motor (GCSM) score, Injury Severity Score (ISS), AIS, time to procedure, and procedure type showed the procedure type was not a contributing factor to patient mortality, but higher age, ISS, and lower GCSM score were strong predictors of mortality. Conclusion The treatment of approximately 95% of hypotensive patients with massive splenic injury was total splenectomy. However, if the interventional radiology resources are immediately available, SAE can be used as a first intervention without an increased risk of mortality.

Sign in / Sign up

Export Citation Format

Share Document