Connecticut medicine
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Connecticut medicine · May 2009
Comparative StudyComparative results of trauma scoring systems in fatal outcomes.
Trauma scoring systems are vital tools in assessing patient injuries and determining risk of mortality. This study was designed to test which score--the Injury Severity Score (ISS), the Trauma and Injury Severity Score (TRISS), TRISS plus comorbidities (TRISSCOM) or the new International Classification of Disease (ICD-9)-Based Injury Severity Score (ICISS)--has the greatest predictive value at a Level 2 trauma center. ⋯ The TRISSCOM and its modification performed significantly better than the other scores assessed. Elderly patients may require special treatment when included in scoring system comparisons.