Trauma scoring systems: a review.

@article{Senkowski1999TraumaSS,
  title={Trauma scoring systems: a review.},
  author={Christopher K. Senkowski and Mark G Mckenney},
  journal={Journal of the American College of Surgeons},
  year={1999},
  volume={189 5},
  pages={
          491-503
        }
}
Injury severity scoring systems: a review of application to practice.
TLDR
All injury severity scoring systems are valuable but have certain problems, and the understanding and proper use of scoring systems will allow us to perform critical evaluations and continual refinement of trauma management.
Evaluation of the Revised Trauma Score, MGAP, and GAP scoring systems in predicting mortality of adult trauma patients in a low-resource setting
TLDR
Given the relative simplicity and potentially added clinical benefit in capturing critically ill patients, the MGAP score should be further studied for stratifying risk of incoming trauma patients to the emergency department, allowing for more efficacious triage of patients in lower-resource healthcare settings.
TRISS: does it get better than this?
  • B. Gabbe, P. Cameron, R. Wolfe
  • Medicine
    Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
  • 2004
TLDR
This article critically evaluates the development, structure, and practical use of TRISS to determine its value in the current trauma environment.
Thefeasibility, appropriateness, and applicability of trauma scoring systems in low and middle-income countries: a systematic review
TLDR
The findings of this review reveal that implementing systems designed for HICs may not be relevant to the burden and resources available in LMICs, and Adaptations or alternative scoring systems may be more effective.
Trauma Score Systems for Quality Assessment
TLDR
Key areas for application in quality assessment are, improvement of triage decisions, the identification of patients with unexpected outcomes, the generation and validation of audit filter, and, most importantly, the use as an objective basis for external and internal outcome comparisons.
Relationship between the Injury Severity Score and the need for life-saving interventions in trauma patients in the UK
TLDR
A clinically significant number of adult trauma patients requiring LSIs have an ISS below the traditional definition of major trauma, which should be reconsidered and either lowered, or an alternative metric should be used.
Predictors of mortality in pediatric trauma: experiences of a level 1 trauma center and an assessment of the International Classification Injury Severity Score (ICISS)
TLDR
This study investigated the predictive value of the empirically derived ICD9-derived Injury Severity Score (ICISS) compared to expert consensus-derived scoring systems for trauma mortality in a pediatric population.
Prehospital prediction of intensive care unit stay and mortality in blunt trauma patients.
TLDR
Although the performance of newly developed triage models was promising, their performance did not exceed that of the current trauma triage guidelines, and the anatomic injury criteria appeared to be the key component of theCurrent trauma triages.
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References

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History and current status of trauma scoring systems.
TLDR
There are many potential uses of trauma scoring systems, and field triage of patients to appropriate levels of care has already been mentioned, butQuantifiable systems can also be used for quality assurance.
Evaluating trauma care: the TRISS method. Trauma Score and the Injury Severity Score.
TLDR
This article is a source for those interested in developing or upgrading trauma care evaluation, as well as a means of comparison of outcome for different populations of trauma patients.
Evaluation of the Pediatric Trauma Score.
TLDR
Significant correlations were found for both the PTS and the Revised Trauma Score with survival, the Injury Severity Score, APACHE II score, vital signs, the Glasgow Coma Scale score, hematocrit, need for an operation, and number of days in an intensive care unit.
The Major Trauma Outcome Study: establishing national norms for trauma care.
The Major Trauma Outcome Study (MTOS) is a retrospective descriptive study of injury severity and outcome coordinated through the American College of Surgeons' Committee on Trauma. From 1982 through
Prospective evaluation of the CRAMS scale for triaging major trauma.
TLDR
The CRAMS scale was easy to apply and accurately identified both the critically injured who should be triaged to a Level I center and the less critically injuredWho can be adequately cared for by Level II and III centers.
Do prehospital trauma center triage criteria identify major trauma victims?
TLDR
A limited set of high-yield prehospital criteria are acceptable indicators of MTV and isolated low- and intermediate-y yield criteria may not be useful for initiating trauma center triage or full activation of hospital trauma teams.
Measuring injury severity: time for a change?
TLDR
The NISS often increases the apparent severity of injury and provides a more accurate prediction of short-term mortality and the benefit associated with using the NISS must be weighed against the disadvantages of changing a scoring system and the potential for still greater improvements.
Injury severity scales: overview and directions for future research.
  • E. Mackenzie
  • Medicine
    The American journal of emergency medicine
  • 1984
A modification of the injury severity score that both improves accuracy and simplifies scoring.
TLDR
NISS should replace ISS as the standard summary measure of human trauma and provide a better fit throughout its entire range of prediction.
Application of the trauma score in the prehospital setting.
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