A new characterization of injury severity.

摘要: ASCOT (A Severity Characterization of Trauma) is a physiologic and anatomic characterization injury severity which combines emergency department admission values Glasgow Coma Scale, systolic blood pressure, respiratory rate, patient age, AIS-85 scores in way that obviates ISS shortcomings. are related to survival probability using the logistic function regression weights reaffirm importance head coma prediction outcome. The ability TRISS discriminate survivors from non-survivors reliability their predictions, as measured by Hosmer-Lemeshow statistic, were compared Major Trauma Outcome Study (MTOS) data. performance matched or exceeded TRISS's for blunt-injured patients penetrating-injured patients. gains modest statistics suggest reliably predicts outcome nearly so Statistically reliable predictions not achieved either set. provides more precise description status number, location, than TRISS. may be useful relating other important outcomes highly correlated with Injury Score (ISS) such disability, length stay, resources required treatment.