The injury severity score of road traffic casualties in relation to mortality, time of death, hospital treatment time and disability

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Bull, J. P.¹

The injury severity score of road traffic casualties in relation to mortality, time of death, hospital treatment time and disability

Accid Anal Prev. December 1975;7(4):249-255

©1975 Pergamon Press

Affiliations

¹Medical Research Council Unit, Accident Hospital, Birmingham, England
Abstract

The I.S.S. rating for 1333 road accident casualties admitted to hospital showed; (1) a positive relation to mortality amenable to Probit analysis and higher mortalities with advancing years. (2) A trend of negative association with time to death. (3) Separation of survivors into groups with statistically distinct mean treatment times. (4) Significantly different mean I.S.S. ratings with different severities of residual disability. The similarity of the mortality relationship to that for burns suggests that both the I.S.S. and surface area of burn are comparable measures of the lethality of graded injury. The Probit fits suggest that at given ages there are normal distributions of susceptibility. There is a wide scatter of treatment times and severities of disability for given scores. Average expected values can be derived for groups of cases but the I.S.S. of a single casualty has little prognostic significance. There is scope for improvement in the I.S.S. procedure but even in its present form more extended use would establish norms more securely.
Links

DOI: 10.1016/0001-4575(75)90026-3

WoS: A1975AY43900003
History

Received: 1975-02-28

Cited Works (1)

Year	Entry
1974	Baker SP, O'Neill B, Haddon W Jr, Long WB. The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. J Trauma. March 1974;14(3):187-196.

Cited By (28)

Year	Entry
1976	Mohan D, Zador P, O’Neill B, Ginsburg M. Air bags and lap/shoulder belts: a comparison of their effectiveness in real world, frontal crashes. In: 20th Annual Proceedings, Association for the Advancement of Automotive Medicine (AAAM). November 1-3, 1976; Atlanta, GA.315-335.
1978	Huang LC, Marsh JC IV. AIS and threat to life. In: 22nd Annual Proceedings, Association for the Advancement of Automotive Medicine (AAAM). July 10-14, 1978; Ann Arbor, MI.242-254.
1978	MacKenzie EJ, Garthe EA, Gibson G. Evaluating the Abbreviated Injury Scale. In: 22nd Annual Proceedings, Association for the Advancement of Automotive Medicine (AAAM). July 10-14, 1978; Ann Arbor, MI.55-66.
1981	MacKenzie EJ, Shapiro S, Eastham J, Whitney B. Reliability testing of the AIS'80. In: 24th Annual Proceedings, Association for the Advancement of Automotive Medicine (AAAM). October 1-3, 1981; San Francisco, CA.271-279.
1981	Somers RL. The probability of death score: an improvement of the injury severity score. In: 24th Annual Proceedings, Association for the Advancement of Automotive Medicine (AAAM). October 1-3, 1981; San Francisco, CA.281-290.
1984	MacKenzie EJ, Shapiro S, Moody M, Smith R. Predicting post-trauma functional disability for individuals without significant brain injury. In: 28th Annual Proceedings, Association for the Advancement of Automotive Medicine (AAAM). October 8-10, 1984; Denver, CO.173-187.
1986	Civil ID, Schwab CW. Use of a single page Abbreviated Injury Scale in clinical practice. In: 30th Annual Proceedings, Association for the Advancement of Automotive Medicine (AAAM). October 6, 1986; Montreal, QC.163-174.
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2013	Sankarasubramanian H, Mukherjee S, Chawla A, Göhlich D. A method to compare and quantify threat to pedestrian using injury cost measure. In: Proceedings of the 2013 International IRCOBI Conference on the Biomechanics of Injury. September 11-13, 2013; Gothenburg, Sweden.896-910.
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