• Ulus Travma Acil Cer · Nov 2009

    Comparison of trauma scoring systems for predicting mortality in firearm injuries.

    • Ozlem Köksal, Fatma Ozdemir, Mehtap Bulut, Sule Aydin, Meral Leman Almacioğlu, and Halil Ozgüç.
    • Department of Emergency Medicine, Uludağ University, Faculty of Medicine, Bursa, Turkey. koksalozlem@gmail.com
    • Ulus Travma Acil Cer. 2009 Nov 1;15(6):559-64.

    BackgroundPrediction of mortality in trauma patients is an important part of trauma care. Trauma scoring systems are the current methods used for prediction of mortality. We aimed to evaluate and compare the performances of Injury Severity Score (ISS) and New Injury Severity Score (NISS) in firearm injuries.MethodsRecords of 135 firearm-injured patients who applied to Uludag University Emergency Department between January 2001 and December 2005 were analyzed retrospectively. All patients' data, including age, gender, cause of injury, initial vital signs, injury region, Glasgow Coma Scale (GCS), Revised Trauma Score (RTS), mortality, operation data, and final diagnosis, were collected, and ISS, NISS and Trauma and Injury Severity Score (TRISS) were calculated.ResultsMortality rate was 12.6%. The patients' mean GCS, RTS, ISS, NISS, and TRISS scores were 13.41 +/- 0.31, 10.65 +/- 0.26, 17.04 +/-1.20, 21.94 +/- 1.45, and 9.52 +/- 2.37, respectively. The patients were divided into two groups as ISS = NISS (53.3%) and ISS < NISS (46.7%).ConclusionISS and NISS both performed well in mortality prediction of firearm injuries. NISS demonstrated no superiority to ISS for prediction of mortality in these patients.

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