OBJECTIVES To estimate the costs of Canadian pediatric trauma and identify cost predictors. DESIGN A chart review. SETTING A regional trauma centre. STUDY MATERIAL The charts of all 221 children who suffered traumatic injuries with an Injury Severity Score (ISS) of 4 or more seen over 6 years at a regional trauma centre. MAIN OUTCOME MEASURES Patient data, injury data, all hospital-base...

BACKGROUND The ability of an organism to withstand trauma is determined by the injury per se and inherent properties of the organism at the time of injury. We analyzed whether pre-injury morbidity scored on a four-level ordinal scale according to the American Society of Anesthesiologists Physical Status (ASA-PS) classification system predicts mortality after trauma. MATERIALS From a total of ...

OBJECTIVES The Injury Severity Score (ISS) has served as the standard summary measure of anatomic injury for more than 20 years. Nevertheless, the ISS has an idiosyncrasy that both impairs its predictive power and complicates its calculation. We present here a simple modification of the ISS called the New Injury Severity Score (NISS), which significantly outperforms the venerable but dated ISS ...

BACKGROUND The effects of obesity on injury severity and outcome have been studied in trauma patients but not in those who have experienced a fall. The aim of this study was to compare injury patterns, injury severities, mortality rates, and in-hospital or intensive care unit (ICU) length of stay (LOS) between obese and normal-weight patients following a fall. METHODS Detailed data were retri...

introduction: more than 50 scoring systems have been published for classification of trauma patients in the field, emergency room, and intensive care settings, so far. the present study aimed to compare the ability of trauma injury severity score (triss) and acute physiology and chronic health evaluation (apache) iii in predicting mortality of intensive care unit (icu) admitted trauma patients....

Objective—To determine the performance of the ICD/AIS MAP (© E J MacKenzie et al) as a method of classifying injury severity for children. Methods—Data on all children less than 16 years of age admitted to all designated trauma centers in Pennsylvania from January 1994 through October 1996 were obtained from the state trauma registry. The ICD/AIS MAP was used to convert all injury related ICD-9...

BACKGROUND This study validates the accuracy of the Injury Severity Score (ISS) and the New Injury Severity Score (NISS) systems for prediction of need intubatin (NI), need mechanical ventilation (NMV), and duration of mechanical ventilation (DMV) in intensive care unit (ICU) trauma patient admissions. METHODS One-hundred ten trauma patients were included in this prospective cohort study. The...

OBJECTIVE To develop a statistically rigorous trauma mortality prediction model based on empiric estimates of severity for each injury in the abbreviated injury scale (AIS) and compare the performance of this new model with the injury severity score (ISS). SUMMARY BACKGROUND DATA Mortality rates at trauma centers should only be compared after adjusting for differences in injury severity, but ...

Recent studies suggest that advances in rear seat occupant protection are trailing while frontal crash prevention technologies have disproportionately improved front safety. Therefore, the first objective of this study is to identify safest for children by estimating injury severity position using current data. The second demonstrate Level-2 and above (i.e., L2+) AVs will be significantly diffe...

Major trauma is commonly defined using an Injury Severity Score (ISS) threshold of 15. Since this threshold was formulated, there have been significant developments in both the Abbreviated Injury Scale underlying the ISS, and trauma management techniques, both in the preventive and acute-care phases of trauma management. This study assesses whether this ISS threshold is appropriate when evaluat...