Rautji R, Bhardwaj D N, Dogra T D
Department of Forensic Medicine, Armed Forces Medical College, Pune, India.
Med Sci Law. 2006 Apr;46(2):157-65. doi: 10.1258/rsmmsl.46.2.157.
Anatomic trauma scoring systems are fundamental to trauma research. The Abbreviated Injury Scale (AIS) and its derivative, the Injury Severity Score (ISS), are the most frequently used scales. In a prospective study, 400 autopsies of road traffic accident victims performed between January 2002 and December 2003 were coded according to the AIS and ISS methods. All the cases were classified into different injury groups according to the Injury Severity Scale. Fifty-eight cases (14.5%) were assigned an ISS value of <25; 244 (61%) cases were valued between 25-49; 38 cases (9.5%) were valued between 50-74 and 60 (15%) cases had a value of 75. On analysis of medical care, in cases with ISS<50, about 96% of the victims did not receive optimal care quickly enough with a lack of pre-hospital resuscitation measures and lengthy transportation time to hospital being of major importance.
解剖创伤评分系统是创伤研究的基础。简明损伤定级标准(AIS)及其衍生的损伤严重程度评分(ISS)是最常用的评分标准。在一项前瞻性研究中,对2002年1月至2003年12月期间进行的400例道路交通事故受害者尸体解剖,按照AIS和ISS方法进行编码。所有病例根据损伤严重程度量表分为不同的损伤组。58例(14.5%)病例的ISS值<25;244例(61%)病例的值在25-49之间;38例(9.5%)病例的值在50-74之间,60例(15%)病例的值为75。在医疗护理分析中,ISS<50的病例中,约96%的受害者没有得到足够快的最佳护理,院前复苏措施缺乏和送往医院的时间过长是主要问题。