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MINERVA ORTOPEDICA E TRAUMATOLOGICA

A Journal on Orthopedics and Traumatology


Official Journal of the Piedmontese-Ligurian-Lombard Society of Orthopedics and Traumatology
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Minerva Ortopedica e Traumatologica 2017 December;68(4):203-6

DOI: 10.23736/S0394-3410.17.03834-6

Copyright © 2017 EDIZIONI MINERVA MEDICA

language: English

The trauma scores, ISS, TRISS and RTS in patients with and without injuries of the extremities

José E. ARANTES SANCHES 1, José M. PEREIRA de GODOY 2 , André L. BAITELLO 3

1 Department of Orthopedic and Traumatology, Faculty of Medicine of São Jose do Rio Preto (FAMERP), São Jose do Rio Preto, Brazil; 2 Department of Cardiology and Cardiovascular Surgery, Faculty of Medicine of São Jose do Rio Preto (FAMERP), National Council for Research and Development (CNPq), São Jose do Rio Preto, Brazil; 3 Department of Surgery, Faculty of Medicine of São Jose do Rio Preto (FAMERP), São Jose do Rio Preto, Brazil


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BACKGROUND: The aim of this study was to evaluate the relationship between the Abbreviated Injury Scale (AIS) and the trauma scores, Injury Severity Score (ISS), Revised Trauma Score (RTS) and Trauma and Injury Severity Score (TRISS).
METHODS: The ISS, RTS and TRISS were evaluated in an observational, quantitative study of all the accident victims treated in the Regional Emergency Room of Hospital de Base from July 2004 to June 2005. The patients were allocated to two groups according to the classification of the AIS, minor injuries or no injuries (AIS 0 to 2) and severe injuries (AIS 3 or 4). We studied whether worse AIS scores were associated with worse results for ISS, RTS and TRISS. Additionally, the mortality rates of patients with extremity AIS 3 and AIS 4 were compared.
RESULTS: Significant deterioration was seen in the patients’ status using ISS, RTS and TRISS as the AIS scores increased. Moreover, the mortality rate was higher with extremity AIS 4 patients compared to AIS 3 patients.
CONCLUSIONS: ISS, TRISS and RTS deteriorate with the increase in severity as identified by higher extremity and pelvis AIS. Additionally, higher AIS is associated with a higher mortality rate.


KEY WORDS: Trauma severity indices - Extremities - Wounds and injuries

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Publication History

Issue published online: October 10, 2017
Manuscript accepted: July 28, 2017
Manuscript received: July 16, 2017

Cite this article as

Arantes Sanches JE, Pereira de Godoy JM, Baitello AL. The trauma scores, ISS, TRISS and RTS in patients with and without injuries of the extremities. Minerva Ortop Traumatol 2017;68:203-6. DOI: 10.23736/S0394-3410.17.03834-6

Corresponding author e-mail

godoyjmp@riopreto.com.br