Naess F, Nesbakken A, Pillgram-Larsen J, Gerner T, Solheim K, Stadaas J O
Kirurgisk avdeling, Ullevål sykehus, Oslo.
Tidsskr Nor Laegeforen. 1990 May 20;110(13):1676-9.
From 1 January 1980 to 31 December 1987, 297 patients were admitted to Ullevål Hospital, Dept. of Surgery, with abdominal injury after blunt trauma. The Injury Severity Score (ISS) was determined in retrospect, and correlated to mortality, morbidity and use of resources. 50 patients (16.8%) died. Mortality increased with increasing ISS, until ISS was above 34. In this group, mortality was 75%. In the survivors, hospital costs (days in the hospital, in the intensive care unit, on mechanical respiration, and number of blood units transfused) increased with increasing ISS. The likelihood of developing septicaemia adult respiratory distress syndrome (ARDS) or multiple organ failure also increased with increasing ISS. Those who died were older and had a higher ISS than the survivors. In patients over 55 years old, the mortality increased significantly. The ISS is well suited for identification of seriously injured patients after blunt abdominal trauma. The ISS can be used to predict mortality, morbidity and cost of treatment in groups of patients.
1980年1月1日至1987年12月31日期间，297例腹部钝性创伤患者入住于勒沃尔医院外科。回顾性确定损伤严重程度评分（ISS），并将其与死亡率、发病率和资源使用情况相关联。50例患者（16.8%）死亡。死亡率随ISS升高而增加，直至ISS高于34。在该组中，死亡率为75%。在幸存者中，住院费用（住院天数、重症监护病房天数、机械通气天数和输血量）随ISS升高而增加。发生败血症、成人呼吸窘迫综合征（ARDS）或多器官功能衰竭的可能性也随ISS升高而增加。死亡患者比幸存者年龄更大且ISS更高。在55岁以上患者中，死亡率显著增加。ISS非常适合用于识别腹部钝性创伤后的重伤患者。ISS可用于预测患者群体的死亡率、发病率和治疗费用。
