Abdul Samad, Inayat Ali Khan, Afreen Afazal, Lal Shehbaz, Shua Nasir, Syed Jehanzeb Asim.
Predictive value of injury severity score in relation to morbidity and mortality following road traffic accident.
Pak J Surg Jan ;37(2):65-9.

Background: Patients who land up in the emergency department with trauma do form an integral component of emergency care and hence their evaluation becomes all the more important. The Injury Severity Score (ISS) is a well-designed anatomical scoring system and is a standard approach for evaluating trauma patients following road traffic accidents (RTA). Using the anatomic, physiologic and age characteristics this scale does help to quantify the probability of survival as far as severity of injury is concerned. The objective of this study was to assess the predictive value of injury severity score in relation to morbidity; mortality and hospital stay of patients following road traffic accidents. Material and Methods: This retro-spective cohort study was conducted upon a total of 72 trauma patients (chosen via non-probability - consecutive sampling) of either gender, aged 18 years and above who presented to the emergency department of Ziauddin University Hospital (North Nazimabad campus) with road traffic accidents from 1st September 2019 till 30th October 2020. After taking a full written informed consent, the patients were inspected upon arrival using the injury severity score and the score recorded. Additionally, basic biodata, socio-demographic details and particulars of the road traffic accidents and resultant trauma were noted onto a self-structured questionnaire. Results: Among the 72 road traffic accidents patients enrolled into the study, predominantly males (87.5%). The mean age stood at 27 years (SD+- 5). The commonest injuries included limb fractures (legs; 30.55% and arms; 23.61%). Head trauma was the second most common injury (skull fracture; 9.72% and others such as concussions, hematoma and diffuse axonal injury with a cumulative incidence of 19.4%). The mean injury severity score obtained was 46.3 (SD+-7). The mean hospital stay was 2 days (SD+-0.5). The mortality rate stood at 20.83%. Conclusion: The outcome was stratified to match with three different score ranges of injury severity score and it yielded significant associated, solidifying injury severity score as a predictive tool for mortality.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com