PURPOSE The primary objective of this study was to determine the risk factors associated with undertriage and the risk factors for mortality among the undertriaged patients at a level I safety-net trauma center. METHODS A retrospective analysis was performed of all trauma patients who presented to a level I safety-net trauma center with an injury severity score >15 over a 2-year period (2013-...

conclusions we can conclude that the surveillance presented to our injured group probably had some defects that need to be revised in therapeutic services to enhance survival requirements. objectives the aim of this study was to evaluate the outcome of trauma cases using the trauma score and the injury severity score (triss) model and then comparing this with the results of a major trauma outco...

OBJECTIVES This study aims to compare injury and trauma severity as measured by the 1998 and 2005 revisions of the Abbreviated Injury Sca le and to determine the mortality in the Injury Severity Score and the New Injury Severity Score in both versions. METHOD This cross-sectional retrospective study analyzed injuries of trauma patients from three university hospitals in Sao Paulo, Brazil. Eac...

OBJECTIVE To evaluate the association between pulmonary artery catheter (PAC) use and mortality in a large cohort of injured patients. We hypothesized that PAC use is associated with improved survival in critically injured trauma patients. DESIGN Retrospective database analysis. SETTING A total of 268 level 1 trauma centers from across the United States. PATIENTS A total of 53,312 patient...

Major trauma is commonly defined using an Injury Severity Score (ISS) threshold of 15. Since this threshold was formulated, there have been significant developments in both the Abbreviated Injury Scale underlying the ISS, and trauma management techniques, both in the preventive and acute-care phases of trauma management. This study assesses whether this ISS threshold is appropriate when evaluat...

OBJECTIVE To determine the extent to which the Injury Severity Score (ISS) and Trauma Mortality Probability Model (T-MPM), a new trauma injury score based on empirical injury severity estimates, agree on hospital quality. DESIGN, SETTING, AND PATIENTS Retrospective cohort study based on 66,214 patients in 68 hospitals. Four risk-adjustment models based on either ISS or T-MPM were constructed,...

BACKGROUND Initial management of solid organ injuries in hemodynamically stable patients is nonoperative. Therefore, early identification of those injuries likely to require surgical intervention is key. We sought to identify factors predictive of the need for nephrectomy after trauma. METHODS This is a retrospective review of renal injuries admitted over a 12-year period to a Level I trauma ...