TY  - JOUR
PY  - 2024//
TI  - Settlement is at the end-common trauma scores require a critical reassessment due to the possible dynamics of traumatic brain injuries in patients' clinical course
JO  - Journal of clinical medicine
A1  - Hörauf, Jason-Alexander
A1  - Woschek, Mathias
A1  - Schindler, Cora Rebecca
A1  - Verboket, René Danilo
A1  - Lustenberger, Thomas
A1  - Marzi, Ingo
A1  - Störmann, Philipp
SP  - 
EP  - 
VL  - 13
IS  - 11
N2  - BACKGROUND: Scientific studies on severely injured patients commonly utilize the Abbreviated Injury Scale (AIS) and the Injury Severity Score (ISS) for injury assessment and to characterize trauma cohorts. However, due to potential deterioration (e.g., in the case of an increasing hemorrhage) during the clinical course, the assessment of injury severity in traumatic brain injury (TBI) can be challenging. Therefore, the aim of this study was to investigate whether and to what extent the worsening of TBI affects the AIS and ISS. <br><br>METHODS: We retrospectively evaluated 80 polytrauma patients admitted to the trauma room of our level I trauma center with computed-tomography-confirmed TBI. The initial AIS, ISS, and Trauma and Injury Severity Score (TRISS) values were reevaluated after follow-up imaging. <br><br>RESULTS: A total of 37.5% of the patients showed a significant increase in AIS(head) (3.7 vs. 4.1; p = 0.002) and the ISS (22.9 vs. 26.7, p = 0.0497). These changes resulted in an eight percent reduction in their TRISS-predicted survival probability (74.82% vs. 66.25%, p = 0.1835). <br><br>CONCLUSIONS: The dynamic nature of intracranial hemorrhage complicates accurate injury severity assessment using the AIS and ISS, necessitating consideration in clinical studies and registries to prevent systematic bias in patient selection and subsequent data analysis.<p />  <p>Language: en</p>
LA  - en
SN  - 2077-0383
UR  - http://dx.doi.org/10.3390/jcm13113333
ID  - ref1
ER  -