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  1. Comparison of the Injury Severity Score and ICD-9 diagnosis codes as predictors of outcome in injury : Analysis of 44,032 patients. Commentary.

    Article, Communication - En anglais

    Annual Meeting of the American Association for the Surgery of Trauma. Houston, Texas (USA), 1996/09/19.


    Appropriate stratification of injury severity is a critical tool in the assessment of the treatment and the prevention of injury.

    Since its inception, the Injury Severity Score (ISS) has been the generally recognized « gold standard » for anatomic injury severity assessment.

    However, there is considerable time and expense involved in the collection of the information required to calculate an accurate ISS.

    In addition, the predictive power of the ISS has been shown to be limited.

    Previous work has demonstrated that the anatomic information about injury contained in the International Classification of Diseases Version 9 (ICD-9) can be a significant predictor of survival in trauma patients.

    The goal of this study was to utilize the San Diego County Trauma Registry (SDTR), one of the nation's leading trauma registries, to compare the predictive power of the ISS with the predictive power of the information contained in the injured patients'ICD-9 diagnoses codes.

    It was our primary hypothesis that survival risk ratios derived from patients'ICD-9 diagnoses codes would be equal or better predictors of survival than the Injury Severity Score.

    The implications of such a finding would have the potential for significant cost savings in the care of injured patients.


    Data for the test population were obtained from the SDTR, which contains data from 1985 through 1993 from five participating hospitals. (...)

    Mots-clés Pascal : Traumatisme, Analyse quantitative, Classification, Indice gravité, Diagnostic, Facteur prédictif, Pronostic, Etude comparative, Méthodologie, Epidémiologie, Homme

    Mots-clés Pascal anglais : Trauma, Quantitative analysis, Classification, Severity score, Diagnosis, Predictive factor, Prognosis, Comparative study, Methodology, Epidemiology, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0251602

    Code Inist : 002B16N. Création : 11/06/1997.