TY - JOUR
T1 - Accuracy of Trauma Surgeons Prospective Estimation of the Injury Severity Score
T2 - A Pilot Study
AU - Mlaver, Eli
AU - Meyer, Courtney H.
AU - Codner, Jesse A.
AU - Solomon, Gina
AU - Sharma, Jyotirmay
AU - Krause, Morgan
AU - Vassy, W. Matthew
AU - Dente, Christopher J.
AU - Todd, S. Rob
AU - Ayoung-Chee, Patricia
N1 - Publisher Copyright:
© The Author(s) 2024.
PY - 2024/7
Y1 - 2024/7
N2 - Injury Severity Score (ISS) has limited utility as a prospective predictor of trauma outcomes as it is currently scored by abstractors post-discharge. This study aimed to determine accuracy of ISS estimation at time of admission. Attending trauma surgeons assessed the Abbreviated Injury Scale of each body region for patients admitted during their call, from which estimated ISS (eISS) was calculated. The eISS was considered concordant to abstracted ISS (aISS) if both were in the same category: mild (<9), moderate (9-15), severe (16-25), or critical (>25). Ten surgeons completed 132 surveys. Overall ISS concordance was 52.2%; 87.5%, 30.8%, 34.8%, and 61.7% for patients with mild, moderate, severe, and critical aISS, respectively; unweighted k =.36, weighted k =.69. This preliminarily supports attending trauma surgeons’ ability to predict severity of injury in real time, which has important clinical and research implications.
AB - Injury Severity Score (ISS) has limited utility as a prospective predictor of trauma outcomes as it is currently scored by abstractors post-discharge. This study aimed to determine accuracy of ISS estimation at time of admission. Attending trauma surgeons assessed the Abbreviated Injury Scale of each body region for patients admitted during their call, from which estimated ISS (eISS) was calculated. The eISS was considered concordant to abstracted ISS (aISS) if both were in the same category: mild (<9), moderate (9-15), severe (16-25), or critical (>25). Ten surgeons completed 132 surveys. Overall ISS concordance was 52.2%; 87.5%, 30.8%, 34.8%, and 61.7% for patients with mild, moderate, severe, and critical aISS, respectively; unweighted k =.36, weighted k =.69. This preliminarily supports attending trauma surgeons’ ability to predict severity of injury in real time, which has important clinical and research implications.
KW - clinical decision support
KW - injury severity
KW - risk assessment
KW - surgical quality
KW - trauma
UR - http://www.scopus.com/inward/record.url?scp=85188567344&partnerID=8YFLogxK
U2 - 10.1177/00031348241241630
DO - 10.1177/00031348241241630
M3 - Article
C2 - 38523563
AN - SCOPUS:85188567344
SN - 0003-1348
VL - 90
SP - 1928
EP - 1930
JO - American Surgeon
JF - American Surgeon
IS - 7
ER -