Characterizing injury severity in nonaccidental trauma: Does Injury Severity Score miss the mark?

ABSTRACT:

Background

Children suffering nonaccidental trauma (NAT) are at high risk of death. It is unclear whether markers of injury severity for trauma center/system benchmarking such as Injury Severity Score (ISS) adequately characterize this. Our objective was to evaluate mortality prediction of ISS in children with NAT compared with accidental trauma (AT).

Methods

Pediatric patients younger than 16 years from the Pennsylvania state trauma registry 2000 to 2013 were included. Logistic regression predicted mortality from ISS for NAT and AT patients. Multilevel logistic regression determined the association between mortality and ISS while adjusting for age, vital signs, and injury pattern in NAT and AT patients. Similar models were performed for head Abbreviated Injury Scale (AIS).

SUBMITTER: Brown JB 

PROVIDER: S-EPMC6097954 | biostudies-literature | 2018 Oct

REPOSITORIES: biostudies-literature