Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Comparative Study
. 1989 May;209(5):541-5; discussion 545-6.
doi: 10.1097/00000658-198905000-00005.

Comparison of trauma assessment scores and their use in prediction of infection and death

W G Cheadle  1 , M Wilson, M J Hershman, D Bergamini, J D Richardson, H C Polk Jr
Affiliations
Comparative Study

Comparison of trauma assessment scores and their use in prediction of infection and death

W G Cheadle et al. Ann Surg. 1989 May.

Abstract

Current trauma assessment scores do not include an assessment of immune competence and have not been designed to predict late death from or risk of infection. We have compared the use of the Outcome Predictive Score (OPS) with other standard scales to predict clinical outcome after trauma. The OPS combines the Injury Severity Score (ISS) corrected for age (%LD50), degree of bacterial contamination, and monocyte HLA-DR antigen expression on hospital admission. The OPS was compared to the ISS, %LD50, Revised Trauma Score (RTS), Combined Trauma Score-ISS (TRISS), and Anatomical Index (AI). Sixty-one seriously ill patients were studied. Patient outcome was defined as uneventful recovery (n = 18), major infection (n = 27), and death (13 of 16 deaths resulted from infection). The assessment scores were compared for their use in prediction of these outcomes, as well as their ability to distinguish patients with good outcome from those patients who developed major infection or died, and to differentiate survival from death. Only the OPS was able to significantly segregate all five outcome groups (p less than 0.05). Although the age-adjusted ISS distinguished between survival and death (p less than 0.05), only OPS consistently distinguished between good outcome and sepsis/death (p less than 0.05), and therefore best identified the patients who developed infection. AI, RTS, and TRISS had little predictive value.

PubMed Disclaimer

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. J Trauma. 1974 Mar;14(3):187-96 - PubMed
    1. J Trauma. 1987 Apr;27(4):343-8 - PubMed
    1. Injury. 1978 Feb;9(3):184-7 - PubMed
    1. Ann Surg. 1979 Nov;190(5):557-64 - PubMed
    1. J Trauma. 1980 Mar;20(3):197-202 - PubMed

Publication types

Substances

-