• Ann Emerg Med · Dec 1990

    The lack of full correlation between the Injury Severity Score and the resource needs of injured patients.

    • W G Baxt and V Upenieks.
    • Department of Emergency Medicine, University of California, San Diego, Medical Center 92103-1990.
    • Ann Emerg Med. 1990 Dec 1; 19 (12): 1396-400.

    Study ObjectiveTo determine whether the Injury Severity Score (ISS) correlates with the resource requirements of severely injured patients by studying the association of the ISS with three major interventions (fluid resuscitation, invasive central nervous system monitoring, and acute operative repair) trauma centers routinely provide severely injured patients.DesignRetrospective clinical review.SettingLevel I trauma center.Type Of ParticipantsEight hundred fourteen adult injured patients.Measurements And Main ResultsWhen an ISS of more than 9 was used as the definition of major trauma, the ISS undercorrelated 11% of the time with the need for any one procedure. When an ISS of more than 14 was used as the definition, it undercorrelated 20% of the time.ConclusionThe ISS may not be completely correlated with the resource requirements of injured patients and should not be used as the sole means by which to define major injury.

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