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[Determination of the trauma severity level]

T D Gennari1, M S Koizumi

  • 1Unidade de Terapia Intensiva da Casa da Saúde Dr. Domingos Anastácio, Jundiaí, SP, Brasil.

Revista De Saude Publica
|October 1, 1995
PubMed
Summary

This study analyzed trauma severity in 100 hospitalized patients using the Injury Severity Score (ISS). Penetrating trauma patients exhibited higher ISS scores and severe injuries compared to blunt trauma patients.

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Area of Science:

  • Trauma care and injury severity assessment.
  • Public health and epidemiology of trauma.
  • Emergency medicine and critical care.

Context:

  • Prospective study of 100 hospitalized trauma patients.
  • Analysis conducted at a trauma referral health facility in S. Paulo, Brazil.
  • Inclusion of both blunt (68 patients) and penetrating (32 patients) trauma cases.

Purpose:

  • To characterize trauma severity using the Injury Severity Score (ISS).
  • To compare injury severity between blunt and penetrating trauma.
  • To analyze mortality rates associated with different trauma types.

Summary:

  • Blunt trauma patients: 53% mild (ISS 1-15), 29.4% moderate (ISS 16-24), 17.6% severe (ISS 25). Mean ISS: 14.9 +/- 8.1.
  • Penetrating trauma patients: 34.4% mild, 18.7% moderate, 46.9% severe. Mean ISS: 20.8 +/- 11.0.
  • Mortality rates: 11.8% for blunt trauma, 12.5% for penetrating trauma.

Impact:

  • Highlights the higher severity of penetrating trauma based on ISS.
  • Provides data for resource allocation and treatment strategies in trauma centers.
  • Informs public health initiatives for trauma prevention and management in Brazil.

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