Paediatric trauma centres seek to optimise the care of injured children. Trends in state-wide paediatric care and outcomes have not been examined in detail in Australia. This study examines temporal trends in paediatric trauma outcomes and factors influencing survival and length of stay. A retrospective review was conducted using data from the NSW Trauma Registry during 2003-2008 for children a...

OBJECTIVES A retrospective analysis of injuries caused by vehicles that were reversing or rolling backwards to establish guidelines for prevention was performed. PATIENTS AND METHODS Medical records and questionnaires completed by parents for 32 children admitted to the Department of Pediatric Surgery, Graz, within the past eight years, were analysed. RESULTS The median age was 2.1 years (1...

Attempts have been made to improve the Injury Severity Score (ISS) system of Baker et al. (1974) using plasma lactate data obtained from 277 patients shortly after injury and before treatment. The ISS is based on the Abbreviated Injury Scale (AIS) values of the individual injuries, being the sum of the squares of the values for the three most severely injured regions. Log (plasma lactate concen...

Purpose: The Injury Severity Score (ISS) is used to predict outcome after trauma. However, it criticised because of flaws in its calculation injury severity. New (NISS) was proposed as an alternative. studies are conflicted on which better. We compared both scales predicting surgery, multiple surgeries, preoperative blood transfusion, hospital stay length and mortality patients with orthopaedic...

BACKGROUND AND AIMS The coverage of the official statistics is poor in motorcycle and moped accidents. The aim of this study was to analyze the severity of motorcycle and moped crashes, and to define the degree of under-reporting in official statistics. MATERIAL AND METHODS All first attendances due to an acute motorcyclist or moped driver injury registered in the emergency department between...

OBJECTIVE Trauma Score-Injury Severity Score (TRISS) is one of the most universally deployed scores. It is based on both the physiologic Revised Trauma Score (RTS) and anatomic Injury Severity Score (ISS). The purpose of the present study was to validate the accuracy of the TRISS methodology to predict survival of admitted trauma patients at Siriraj Hospital when compared with the actual mortal...

BACKGROUND Trauma is the fifth leading cause of death in patients 65 years and older. This study is a comparison of results of Revised Trauma Score (RTS), Injury Severity Score (ISS), and Trauma and Injury Severity Score (TRISS) in prediction of mortality in cases of geriatric trauma. METHODS This is a cross-sectional study of records of 352 elderly trauma patients who were admitted to Pour-S...

the pediatric risk of mortality (prism) score is a measure of illness severity based on abnormalities observed on bedside examination and laboratory assessment at pediatric intensive care unit (picu) admission to predict mortality probability. our study was performed on 205 patients who were admitted to picu of children’s medical center (cmc) over a period of 6 months.data were recorded prospec...

AIM To identify the potential prognostic factors for mortality after falls from height. METHOD A retrospective clinical observational study included victims of fall of >6m from October 2000 to December 2007. Variables studied comprised each casualty's age, gender, height of fall, Glasgow Coma Scale (GCS) score, Abbreviated Injury Scale scores, Injury Severity Score, heart rate, Mean Arterial ...

Early acute pain after injury has been linked to long-term patient outcomes, including the development of posttraumatic stress disorder (PTSD). Several studies have identified a negative correlation between early anesthetic/analgesic usage and subsequent development of PTSD. This retrospective study examined the relationship between early acute pain and severity of PTSD symptoms in soldiers wit...