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Injury Severity Score

Introduction


The Injury Severity Score (ISS) is an established medical score to asses trauma severity. It correlates with mortality, morbidity and hospitalization time after trauma. It is used to define the term polytrauma.

Abbreviated Injury Scale AIS

Abbreviated Injury Scale AIS

The ISS is based (see below) upon the Abbreviated Injury Scale AIS. The AIS describes the severity of injury to one body region: 1 Minor, 2 Moderate, 3 Serious, 4 Severe, 5 Critical, 6 Maximal (currently untreatable).

ISS Definition

ISS Definition

ISS = A^2 + B^2 + C^2; A, B, C being the AIS score of the three most injured of the following body regions: head, face, thorax, abdomen, extremities (incl. pelvis).

Polytrauma Definition

Polytrauma Definition

A Polytrauma is defined as ISS >= 16[1] [2].

References

References

  1. ↑ Copes, W.S. (1988). “The Injury Severity Score revisited”. The Journal of Trauma. Lippincott Williams & Wilkins. 28 (1): 69–77. Unknown parameter |coauthors= ignored (help)
  2. ↑ Pathophysiology of polytrauma – Keel, M. & Trentz O. – Injury, Volume 36, Issue 6, Pages 691-709

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