Köksal Ozlem, Ozdemir Fatma, Bulut Mehtap, Aydin Sule, Almacioğlu Meral Leman, Ozgüç Halil
Department of Emergency Medicine, Uludağ University, Faculty of Medicine, Bursa, Turkey.
Ulus Travma Acil Cerrahi Derg. 2009 Nov;15(6):559-64.
Prediction of mortality in trauma patients is an important part of trauma care. Trauma scoring systems are the current methods used for prediction of mortality. We aimed to evaluate and compare the performances of Injury Severity Score (ISS) and New Injury Severity Score (NISS) in firearm injuries.
Records of 135 firearm-injured patients who applied to Uludag University Emergency Department between January 2001 and December 2005 were analyzed retrospectively. All patients' data, including age, gender, cause of injury, initial vital signs, injury region, Glasgow Coma Scale (GCS), Revised Trauma Score (RTS), mortality, operation data, and final diagnosis, were collected, and ISS, NISS and Trauma and Injury Severity Score (TRISS) were calculated.
Mortality rate was 12.6%. The patients' mean GCS, RTS, ISS, NISS, and TRISS scores were 13.41 +/- 0.31, 10.65 +/- 0.26, 17.04 +/-1.20, 21.94 +/- 1.45, and 9.52 +/- 2.37, respectively. The patients were divided into two groups as ISS = NISS (53.3%) and ISS < NISS (46.7%).
ISS and NISS both performed well in mortality prediction of firearm injuries. NISS demonstrated no superiority to ISS for prediction of mortality in these patients.
创伤患者死亡率的预测是创伤护理的重要组成部分。创伤评分系统是目前用于预测死亡率的方法。我们旨在评估和比较损伤严重度评分（ISS）和新损伤严重度评分（NISS）在火器伤中的表现。
回顾性分析2001年1月至2005年12月期间就诊于乌鲁达大学急诊科的135例火器伤患者的记录。收集所有患者的数据，包括年龄、性别、受伤原因、初始生命体征、受伤部位、格拉斯哥昏迷量表（GCS）、修正创伤评分（RTS）、死亡率、手术数据和最终诊断，并计算ISS、NISS和创伤与损伤严重度评分（TRISS）。
死亡率为12.6%。患者的平均GCS、RTS、ISS、NISS和TRISS评分分别为13.41±0.31、10.65±0.26、17.04±1.20、21.94±1.4 和±2.37。患者分为两组，即ISS = NISS组（53.3%）和ISS < NISS组（46.7%）。
ISS和NISS在火器伤死亡率预测方面均表现良好。在这些患者中，NISS在死亡率预测方面未显示出优于ISS的优势。
