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Trauma Scoring Systems

Epomedicine, Mar 26, 2025Mar 26, 2025
trauma scoring
Bairagi, A. (2016). Injury Severity Score (ISS) versus New Injury Severity Score (NISS) at a level one trauma unit in South Africa. Are we miss (Maximal Injury Severity Score) ing the point.
Scoring systemsScore typeBrief descriptionScore interpretation
Revised trauma score (RTS)PhysiologicRR + SBP + GCSEach parameter is scored 0-4 (Total range = 0-12)

Lower score indicates more severe injury (RTS 12 = <1% mortality; RTS 0 = >99% mortality)

Score <11 – transfer to trauma center
Injury severity score (ISS)AnatomicBody divided into 6 regions (head, face, chest, abdomen, extremities including pelvis & external) & each injury is assigned the AIS (1-6)Sum of the square of 3 highest scoring regions

Highest score is 75 (5² + 5² + 5²)

AIS of 6 is regarded as unsurvivable (automatically gets score of 75)
New injury severity score (NISS)AnatomicEach injury assigned a severity from 1 to 6, allowing multiple injuries in a body region to be consideredSum of the square of 3 highest AIS irrespective of body regions
Trauma & Injury severity score (TRISS)CombinedAttempts to predict mortality by combining anatomic and physiological derangementsCalculates a probability of survival based on logistic regression of RTS, ISS & age
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Epomedicine. Trauma Scoring Systems [Internet]. Epomedicine; 2025 Mar 26 [cited 2026 Jul 4]. Available from: https://epomedicine.com/medical-students/trauma-scoring-systems/.

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