Turina D, Sustić A, Tićac Z, Dirlić A, Krstulović B, Glavas A, Orlić V
Department of Anesthesiology and Intensive Care Unit, Clinical Hospital Rijeka, Rijeka, Croatia.
Mil Med. 2001 Apr;166(4):331-4.
To evaluate in war casualties with acute penetrating head injury whether the summed War Head Injury Score (WHIS) is a better predictor of mortality than either the Glasgow Coma Scale (GCS) score or the Injury Severity Score (ISS) alone and to establish its specific applicability.
Sensitivity, specificity, correct outcome prediction, and discrimination were assessed in 43 patients in the war group (ballistic injuries) and 41 patients in the civil group (nonballistic injuries) during the period 1991 to 1995. The new model was generated using the sum of GCS scores and ISS, to which a coded value was applied for summation.
In the war group, the mortality rate was 23%; the sensitivity and specificity of WHIS were 100% and 79%, the sensitivity and specificity of GCS score were 90% and 85%, and the sensitivity and specificity of ISS were 100% and 49%, respectively. In the civil group, the mortality rate was 39%; the sensitivity and specificity of WHIS were 87% and 76%, the sensitivity and specificity of GCS score were 63% and 90%, and the sensitivity and specificity of ISS were 100% and 56%, respectively.
With regard to civilians, war casualties with acute penetrating head injury more often have multiple injuries. WHIS represents a new scoring system that incorporates both GCS score and ISS.
评估在急性穿透性颅脑损伤的战争伤员中，累计战争颅脑损伤评分（WHIS）是否比格拉斯哥昏迷量表（GCS）评分或单独的损伤严重程度评分（ISS）更能预测死亡率，并确定其具体适用性。
在1991年至1995年期间，对43例战争组（弹道伤）患者和41例平民组（非弹道伤）患者进行敏感性、特异性、正确结局预测和鉴别能力评估。新模型通过GCS评分和ISS评分之和生成，并应用一个编码值进行求和。
战争组死亡率为23%；WHIS的敏感性和特异性分别为100%和79%，GCS评分的敏感性和特异性分别为90%和85%，ISS的敏感性和特异性分别为100%和49%。平民组死亡率为39%；WHIS的敏感性和特异性分别为87%和76%，GCS评分的敏感性和特异性分别为63%和90%，ISS的敏感性和特异性分别为100%和56%。
对于平民而言，急性穿透性颅脑损伤的战争伤员更常合并多处损伤。WHIS代表了一种新的评分系统，它结合了GCS评分和ISS评分。
