B. R. Sharma
Department of Forensic Medicine and Toxicology, Government Medical College and Hospital,
Chandigarh-160030, India
Manisha Gupta
Department of Forensic Medicine and Toxicology, Government Medical College and Hospital,
Chandigarh-160030, India
Sumedha Bangar
Department of Forensic Medicine and Toxicology, Government Medical College and Hospital,
Chandigarh-160030, India
ABSTRACT
A retrospective autopsy-based study conducted in correlation with the relevant clinical records and the reports from investigating agencies to analyze the suitability of Injury Severity Score (ISS) and New Injury Severity Score (NISS) in predicting the mortality of trauma victims. Four hundred and forty six autopsy reports of the victims of road traffic accidents were thoroughly studied and the external and internal injuries were assigned AIS coding. Based on this coding ISS and NISS scoring was done. On comparing both scoring systems it was found that ISS, satisfactorily correlates to the survival period among the trauma patients of multiple wounds but NISS was a better scoring system.
PDF References Citation
How to cite this article
B. R. Sharma, Manisha Gupta and Sumedha Bangar, 2005. NISS a Valuable Tool for Trauma Scoring on Autopsy. Pakistan Journal of Biological Sciences, 8: 995-1000.
DOI: 10.3923/pjbs.2005.995.1000
URL: https://scialert.net/abstract/?doi=pjbs.2005.995.1000
DOI: 10.3923/pjbs.2005.995.1000
URL: https://scialert.net/abstract/?doi=pjbs.2005.995.1000
REFERENCES
- Sharma, B.R., D. Harish and V. Sharma, 2001. Road traffic accidents: A demographic and topographic analysis. Med. Sci. Law, 41: 266-274.
PubMedDirect Link - Sahdev, P., M.J. Lacqua, B. Singh and T.D. Dogra, 1994. Road traffic fatalities in Delhi: Causes, injury patterns and incidence of preventable deaths. Accident: Anal. Prevent., 26: 377-384.
PubMedDirect Link - MacKenzie, E.J., D.M. Steinwachs and B.S. Shankar, 1989. Classifying trauma severity based on hospital discharge diagnosis. Validation of an ICD-9-CM to AIS-85 conversion table. Med. Care, 27: 412-422.
PubMedDirect Link - Adams, V.I. and C. Carrubba, 1998. The abbreviated injury scale-application to autopsy data. Am. J. Forensic Med. Pathol., 19: 246-251.
PubMedDirect Link - Brenneman, F.D., B.R. Boulonger, B.A. McLellan and D.A. Redelmeier, 1998. Measuring injury severity: Time for a change? J. Trauma Injury Infec. Crit. Care, 44: 580-582.
PubMedDirect Link - West, J.G., 1982. Validation of autopsy method for evaluating trauma case. Arch. Surg., 117: 1033-1035.
Direct Link - Kumar, B., G. Paul and A.K. Sharma, 1989. Injury severity score as a yardstick in assessing the severity and mortality of various abdomino-pelvic trauma hospitalized victims-a clinical vis-a-vis autopsy study. Med. Sci. Law, 29: 333-336.
PubMedDirect Link - Bergvist, D., H. Hedeline, G. Karlson, B. Lindblad and T. Matzsch, 1983. Abdominal trauma and fatal outcome: Analysis of thirty-year studies. J. Trauma, 23: 499-502.
PubMedDirect Link - Ostler, T., 1993. Injury severity scoring: Perspectives in development and future directions. Am. J. Surg., 165: 43S-51S.
Direct Link - Copes, W.S., H.R. Champion, W.J. Sacco, M.M. Lawnick and D.S. Gann et al., 1990. Progress in characterizing anatomic injury. J. Trauma, 30: 1200-1207.
PubMedDirect Link - Osler, T., S.P. Baker and W. Long, 1997. A modification of the injury severity scores that both improves accuracy and simplifies scoring. J. Trauma, 43: 922-925.
PubMedDirect Link - Southard, P., 1993. Trauma economics: Suggestions for decreasing the cost of trauma care. J. Emerg. Nurs., 19: 262-263.
PubMedDirect Link - Sharma, B.R., 2003. Clinical forensic medicine-management of crime victims from trauma to trial. J. Clin. Forensic Med., 10: 267-273.
PubMedDirect Link