Nogueira Lilia de Souza, Sousa Regina Marcia Cardoso de, Domingues Cristiane de Alencar
Escola de Enfermagem, Universidade de São Paulo, Brazil.
Rev Lat Am Enfermagem. 2009 Nov-Dec;17(6):1037-42. doi: 10.1590/s0104-11692009000600017.
This study compared the performance of the Injury Severity Score (ISS) with the New Injury Severity Score (NISS) and also the Simplified Acute Physiology Score II (SAPS II) with the Logistic Organ Dysfunction System (LODS) in trauma victims, in order to predict mortality and length of stay in Intensive Care Units (ICU), besides identifying which indexes have been the most effective to estimate these results. A retrospective analysis was done in the records of 185 victims admitted in ICU between June and December 2006. None of the four indexes properly discriminated the patients according to length of stay at the ICU. The ISS and the NISS did not show a good discriminating capacity in case of death, but the SAPS II and the LODS presented good performance to estimate mortality at the ICU. Results pointed towards the use of SAPS II and LODS when trauma victims are admitted in an ICU.
本研究比较了创伤患者中损伤严重度评分（ISS）与新损伤严重度评分（NISS），以及简化急性生理学评分II（SAPS II）与逻辑器官功能障碍系统（LODS）的表现，目的是预测重症监护病房（ICU）的死亡率和住院时间，此外还确定哪些指标在评估这些结果方面最为有效。对2006年6月至12月期间入住ICU的185例患者的记录进行了回顾性分析。这四个指标均未根据患者在ICU的住院时间对患者进行恰当区分。ISS和NISS在死亡情况方面未显示出良好的区分能力，但SAPS II和LODS在评估ICU死亡率方面表现良好。结果表明，当创伤患者入住ICU时，应使用SAPS II和LODS。
