A COMPARATIVE STUDY OF INJURY SEVERITY SCORE AND NEW INJURY SEVERITY SCORE AS CRITERIA FOR ADMISSION OF TRAUMA PATIENTS IN A TERTIARY CARE CENTRE.

Dr. Pawan Sharma, Dr. Abhishek Sharma, Dr. Usha Kumari

Abstract


Background: Trauma has been a major cause of morbidity and mortality all across the globe . For the improvement of delivery of efficient care to
these victims, various trauma severity indices have been devised which make it possible to plan emergency care and assess need for hospitalisation
and optimise hospital resources. This study was carried out to compare and evaluate Injury Severity Score(ISS) and New Injury Severity
Score(NISS) as criteria for admission of trauma patients.
Methods: It was a prospective observational study. The available data was analyzed to determine and compare ISS and NISS as the criteria for
admission. The statistical software SPSS (version 20) was used for data analysis.
Results: A total of 102 patients were studied at Trauma Centre of our hospital. Out of the total patients, 59.8% patients had their NISS scores
greater than ISS which showed that NISS is slightly more sensitive and accurate than ISS. It was observed that NISS was not better in predicting
hospital stay as compared to ISS. The relationship between NISS and number of hospitalisation days was not statistically significant (p value=
0.112) whereas ISS was a better predictor of hospital stay (p value=0.042)
Conclusion: In this study, it was observed that majority of parameters have favored NISS whereas parameters like hospital stay have favored ISS.
Hence, we concluded that NISS is a better score than ISS in many aspects and it can be preferred over ISS as one of the criteria for Hospital
admission of trauma patients.


Keywords


Trauma, Injury Severity Score, Admission Criteria

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References


Association for the Advancement of Automotive Medicine – AAAM. Abbreviated Injury Scale (AIS): 2015 revised update.

Baker SP, O'neill B, Haddon W, Long WB. The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. J Trauma. 1974 Mar; 14(3):187–196.

Osler T, Baker SP, Long W. A modification of the injury severity score that both improves accuracy and simplifies scoring. J Trauma. 1997 Dec; 43(6):922–925.

Kulla M, Fischer S, Helm M, Lampl L. [How to assess the severity of the multi–system trauma in the emergency–room — a critical review] Traumascoresfür den Schockraum — einekritischeUbersicht. AnasthesiolIntensivmedNotfallmedSchmerzther. 2005 Dec; 40(12):726–736.

Campos M A. O Injury Severity Score e a sua nova propostaemvítimas de trauma crânio–encefálico: diferençasemresultados e efetividade de valor preditivo. [dissertação]. São Paulo (SP): Escola de Enfermagem/USP; 2001.

Jamulitrat S, Sangkerd P, Thongpiyapoom S, Na Narong M. A comparison of mortality predictive abilities between NISS and ISS in trauma patients. J Med Assoc Thai. 2001 Oct; 84(10):1416–1421.

Eid HO, Abu Zidan FM. New Injury Severity Score is a better predictor for blunt trauma patients than the ISS. World J Surg. 2015 Jan;39(1):165-171.

Lavoie A, Moore L, LeSage N, Liberman M, Sampalis JS. The Injury Severity Score or the New Injury Severity Score for predicting intensive care unit admission and hospital length of stay. Injury. 2005 Apr; 36(4):477–483.

Balogh ZJ, Varga E, Tomka J, Süveges G, Tóth L, Simonka JA. The new injury severity score is a better predictor of extended hospitalization and intensive care unit admission than the injury severity score in patients with multiple orthopaedic injuries. J Ortho Trauma. 2003 Aug; 17(7):508–512.

Tay SY, Sloan EP, Zun L, Zaret P. Comparison of the New Injury Severity Score and the Injury Severity Score. J Trauma. 2004 Jan; 56(1):162–164.

Tamim H et al. The statistical performance of Injury Severity Score and New Injury Severity Score in predicting mortality, admission to intensive care unit and length of hospital stay. J Injury. 2008 Jan;39(1):115-120.

Deng Q, Tang B, Xue C, Liu Y, Liu X, Lv Y, Zhang L. Comparison of the ability to predict mortality between the Injury Severity Score and the New Injury Severity Score-A Meta Analysis. Int J Environ Res Public Health. 2016 Aug; 16:13(8). Epub Aug16.


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