Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Search research articles

Related Experiment Videos

Injury scoring by TRISS and ISS/age.

J P Bull¹, G R Dickson

¹Birmingham Accident Hospital, UK.

|March 1, 1991

Summary

The TRISS method overemphasizes initial signs and inadequately accounts for elderly patients. The simpler ISS/Age method shows promise for improving trauma survival estimates.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Disinfection of Hands: Removal of Resident Bacteria.

British medical journal·2010

Same author

The Management of Burns.

The Journal of the College of General Practitioners·2009

Same author

Microcomputed tomography imaging in a rat model of delayed union/non-union fracture.

Journal of orthopaedic research : official publication of the Orthopaedic Research Society·2007

Same author

Degradation of poly-L-lactide. Part 1: in vitro and in vivo physiological temperature degradation.

Proceedings of the Institution of Mechanical Engineers. Part H, Journal of engineering in medicine·2004

Same author

Degradation of poly-L-lactide. Part 2: increased temperature accelerated degradation.

Proceedings of the Institution of Mechanical Engineers. Part H, Journal of engineering in medicine·2004

Same author

Increased femoral neck cancellous bone and connectivity in coxarthrosis (hip osteoarthritis).

Bone·2003

Area of Science:

Trauma surgery
Medical statistics

Background:

Trauma scoring systems are crucial for predicting patient outcomes.
The Trauma and Injury Severity Score (TRISS) and Injury Severity Score/Age (ISS/Age) methods are commonly used.
Assessing the accuracy and limitations of these methods is vital for clinical practice.

Purpose of the Study:

To compare the effectiveness of the TRISS and ISS/Age methods in predicting mortality in injured patients.
To identify limitations of the TRISS method, particularly regarding initial clinical signs and elderly patient data.
To evaluate the potential of the ISS/Age method as a superior alternative.

Main Methods:

Retrospective analysis of injured patient data.
Application of both TRISS and ISS/Age calculation methods.
Comparison of predicted survival rates with observed outcomes.

Main Results:

Observed survival did not significantly differ from TRISS-predicted survival.
TRISS placed excessive emphasis on the Revised Trauma Score (RTS), which can be misleading due to variable early clinical signs.
TRISS showed inadequate consideration of age-related effects in the elderly.
The ISS/Age method demonstrated freedom from these specific TRISS limitations.

Conclusions:

The TRISS method's reliance on early clinical signs and its handling of elderly data present significant limitations.
The ISS/Age method offers a simpler and potentially more accurate approach to mortality prediction in trauma.
Further development and updated datasets for the ISS/Age method could enhance its utility for trauma survival estimation.

Related Experiment Videos