Article

The injury severity score-Importance and uses

Department of Epidemiology, Technion, and the Rambam Medical Center, Haifa, Israel.
Annals of Epidemiology (Impact Factor: 2.15). 12/1995; 5(6):440-6. DOI: 10.1016/1047-2797(95)00059-3
Source: PubMed

ABSTRACT The development and attributes of the Abbreviated Injury Scale (AIS) and the Injury Severity Score (ISS) are reviewed. The ISS was proved to be an excellent method for retrospective comparison of overall injury data between populations differing in time or space. Its strengths, purpose, and appropriate uses are emphasized, together with specific comments on statistical analyses and combined scales of anatomic and physiologic injury.

1 Follower
 · 
91 Views
  • [Show abstract] [Hide abstract]
    ABSTRACT: Injury severity indices are numerical scores that are utilized to predict nosocomial bloodstream infections (BSI) in critically ill patients. However, surrogate markers of injury severity (SMIS) may be more clinically meaningful than these commonly used numerical injury severity indices with respect to the control and prevention of nosocomial BSI. The purpose of this study was to demonstrate the clinical and research implications of using the SMIS in predicting nosocomial BSI. A prospective nonexperimental cohort study was conducted on 361 critically ill trauma patients. Three logistic regression models were examined for their clinical relevance and statistical parsimony. The first model included the Injury Severity Score (ISS) and 5 other independent predictors, and excluded the SMIS. The second model included all study variables. The third model excluded the ISS. The analysis suggested that number of blood units transfused, number of central venous catheters inserted, and use of chest tube(s) were the SMIS. The ISS was found to be an independent predictor of nosocomial BSI only when the SMIS were not included in the model. The model that included the SMIS and excluded the ISS explained the highest variance in nosocomial BSI and had the best negative predictive value (93%). Clinicians can use knowledge of SMIS to develop interventions that minimize the risk of nosocomial BSI. Hence, the SMIS can serve not only as a prediction tool but also as a way to enhance control and prevention strategies for BSI.
    Nursing Research 01/2005; 54(4):273-9. DOI:10.1097/00006199-200507000-00010 · 1.50 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: To investigate the occurrence and severity of agitation in patients after severe traumatic brain injury (TBI), to identify predictors of agitation and to study interrater reliability for a translated version of the Agitated Behavior Scale (ABS). Prospective observational study. From November 1, 2006, through October 2007, 46 consecutive patients with TBI were included in the early rehabilitation phase following neurosurgical intervention. Agitated behavior was assessed by the ABS, which was implemented in clinical practice. Logistic regression analysis identified predictors of agitated behavior and Intra Class Correlation was used to analyze reliability. Agitated behavior occurred in 41% of patients, of whom one third exhibited severely agitated behavior. The interrater reliability between three nurses was good to excellent. Using ABS as a tool in care of patients with agitated behavior may be effective through working as a common language. We recommend the use of ABS as a routine assessment in early rehabilitation of patients with TBI.
    Rehabilitation nursing: the official journal of the Association of Rehabilitation Nurses 05/2013; 38(3):133-41. DOI:10.1002/rnj.82 · 0.85 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Blunt aortic injuries are extremely rare in the pediatric population. This case report examines a pediatric patient involved in a motor vehicle crash that resulted in aortic dissection combined with traumatic brain injury. The clinical management of this patient was particularly challenging because of the conflicting needs of optimal management for the head and aortic injuries. Despite the patient's low predicted probability of survival based on Injury Severity Score, the patient had an exceptional outcome.
    Journal of trauma nursing: the official journal of the Society of Trauma Nurses 01/2014; 21(1):9-13. DOI:10.1097/JTN.0000000000000024
Show more