View in EDS

Prise en charge hospitalière et évolution à court terme des blessés graves: expérience Lausannoise. [Hospital management and short-term outcome of the severely injured: Lausanne experience]

Saved in:
Bibliographic Details
Title: Prise en charge hospitalière et évolution à court terme des blessés graves: expérience Lausannoise. [Hospital management and short-term outcome of the severely injured: Lausanne experience]
Authors: Zangger, P., Chevalley, F., Moeschler, O.
Publication Year: 2025
Collection: Université de Lausanne (UNIL): Serval - Serveur académique lausannois
Subject Terms: Adolescent Adult Aged Aged, 80 and over Female Humans Injury Severity Score Male Middle Aged Outcome Assessment (Health Care) *Trauma Severity Indices Wounds and Injuries/*classification/mortality/*therapy
Description: Several physiological and anatomical methods of scoring severely injured patients have been developed since the 1970s, based on very large series of patients. In this study, 59 patients are assessed by the ISS (Injury Severity Score) and the RTS (Revised Trauma Score). The mean ISS is 28, and the mean RTS is 6; the overall evolution shows a 42.4% mortality. Analysis by the TRISS method shows 12 out of 18 "unexpected" deaths, the majority of which can be explained by the fact that the ISS underestimates severe neurological trauma, and that the RTS is not consistently obtained in the early patient notes in our emergency care system.
Document Type: article in journal/newspaper
Language: unknown
ISSN: 0001-6462
Relation: Acta Orthopaedica Belgica; https://iris.unil.ch/handle/iris/217137; serval:BIB_B80727A7BEE6; 8484322
Availability: https://iris.unil.ch/handle/iris/217137
Accession Number: edsbas.918E29A0
Database: BASE
Description
Abstract:Several physiological and anatomical methods of scoring severely injured patients have been developed since the 1970s, based on very large series of patients. In this study, 59 patients are assessed by the ISS (Injury Severity Score) and the RTS (Revised Trauma Score). The mean ISS is 28, and the mean RTS is 6; the overall evolution shows a 42.4% mortality. Analysis by the TRISS method shows 12 out of 18 "unexpected" deaths, the majority of which can be explained by the fact that the ISS underestimates severe neurological trauma, and that the RTS is not consistently obtained in the early patient notes in our emergency care system.
ISSN:00016462