TY  - JOUR
PY  - 2024//
TI  - Accuracy of trauma surgeons prospective estimation of the injury severity score: a pilot study
JO  - American surgeon
A1  - Mlaver, Eli
A1  - Meyer, Courtney H.
A1  - Codner, Jesse A.
A1  - Solomon, Gina
A1  - Sharma, Jyotirmay
A1  - Krause, Morgan
A1  - Vassy, W. Matthew
A1  - Dente, Christopher J.
A1  - Todd, S. Rob
A1  - Ayoung-Chee, Patricia
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
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.<p />  <p>Language: en</p>
LA  - en
SN  - 0003-1348
UR  - http://dx.doi.org/10.1177/00031348241241630
ID  - ref1
ER  -