Injury severity score and new injury severity score for assessing the complications and treatment outcomes in multiple trauma patients combined with severe chest trauma
10.3760/cma.j.issn.1001-8050.2012.07.002
- VernacularTitle:应用ISS和NISS评估伴严重胸部损伤的多发伤患者并发症与救治结局
- Author:
Lingwen KONG
;
Renfu LU
;
Yuankang TAN
;
Hongjie SU
;
Weimin ZHANG
;
Xingji ZHAO
;
Dingyuan DU
- Publication Type:Journal Article
- Keywords:
Multiple trauma;
Thoracic injuries;
Injury severity score;
Outcome assessment
- From:
Chinese Journal of Trauma
2012;28(7):580-583
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the role of ISS and new injury severity score (NISS) in evaluation of complications and treatment outcomes in the multiple trauma patients combined with severe chest trauma.Methods AIS-2005 was used to carry out retrospective analysis of the 1 377 multiple trauma patients combined with severe chest trauma (thoracic AIS≥3 points) treated at Chongqing Emergency Medical Center from January 2005 to January 2011.In the meantime,the related NISS and ISS were calculated and their relations with mortality were analyzed.Results The overall healing,mortality and complication rate were 93.2％,6.8％ and 28.5％ respectively.Both the ISSN and ISS had positive correlation with morbidity of complications ( r =0.569,P ＜0.01 ;r =0.442,P ＜0.01 ) and mortality (r =0.693,P ＜ 0.01 ; r =0.774,P ＜ 0.01 ),but a stronger relevance was demonstrated between NISS and morbidity of complications and between ISS and mortality rate.NISS showed a higher sensitivity but less specificity than ISS in prediction of morbidity of complications (P ＜ 0.01 ),and NISS was not superior to ISS in prediction of mortality ( P ＞ 0.05 ).Conclusions Both NISS and ISS work well in evaluating the complications and treatment outcomes in multiple trauma patients combined with severe chest trauma.Thus,NISS should be applied for prediction of complication occurrence and ISS for treatment outcomes to maximize the prediction accuracy.
