@article{ref1,
title="Multiple injuries in peacetime and wartime estimate of severity of injury by the Injury Severity Score and Polytraumaschlüssel",
journal="European journal of surgery, The",
year="1998",
author="Korac, Z. and Krajacic, I. and Hancevic, J. and Marusic, Z.",
volume="164",
number="8",
pages="563-567",
abstract="OBJECTIVE: To compare the Injury Severity Score (ISS) and Polytraumaschlüssel (PTS) in patients with multiple peacetime and wartime injuries. DESIGN: Prospective and retrospective study. SETTING: General hospital, Croatia. SUBJECTS: 71 patients with multiple injuries admitted between 1 January 1993 and 30 September 1994; 41 had peacetime (road traffic accident) injuries and 30 had been injured in battle. INTERVENTIONS: ISS and PTS scores. MAIN OUTCOME MEASURE: Correlation of scores with morbidity and mortality. RESULTS: All patients with wartime injuries were men, compared with 30/41 (73%) of those with peacetime injuries (p < 0.0001). Those with wartime injuries were slightly but not significant younger (mean 35 years, range 17-69, compared with 44 years, range 17-87). Mortality was higher among those with peacetime injuries, but not significantly so (11/41 compared with 5/30, p=0.39). The two scores correlated well for all injuries (r=0.76), and peacetime (r=0.71) and wartime injuries (r=0.84) separately (all correlations p < 0.0001). In both groups, patients who subsequently died scored significantly higher with both scores (p < 0.001). CONCLUSIONS: The two scores were equally good at describing the severity of injury, and the likelihood of subsequent death, however the injuries were caused.<p /><p>Language: en</p>",
language="en",
issn="1102-4151",
doi="10.1080/110241598750005642",
url="http://dx.doi.org/10.1080/110241598750005642"
}