[Classification of polytraumatized patients, experience with the ISS system].
Authors assessed the process of healing of 161 polytraumatized patients from 1976- to 1987, treated intersively, using the ISS system. Mortality was 27 per cent. Independently from the ISS system the concomittant shock foretold invariably a bad prognosis, although this was also joined generally to a big point number. The ISS system is simple and characterized the degree of the injury well. Through it, it will be possible to measure the gravity of the injury, to estimate statistically the prognosis and to compare the different materials. The number of points in the ISS system shows a good correlation with the survival (death) and the length of the intensive treatment. No patient was lost below 28 points whereas over 49 only 2 have survived. The point value may give information only up to the level of statistical probability concerning the prognosis (or the activity of the treatment) of the single patients. Because of its simplicity, its wide spreading and good practical use the general introduction of the ISS point system, as basic system, is thought to be advisable. For a more accurate judging a further making better and completing of the system (age, conjoined diseases, factors influencing each other mutually) further of the use, if necessary, of the scores applied in accident surgery and intensive therapy seems to be suggested.
Széll
K
K
A Vas Megyei Tanács Markusovszky Kórház.
Salamon
A
A
Sudár
I
I
Sándor
I
I
D003422:Critical Care; D004630:Emergencies; D006801:Humans; D006814:Hungary; D009104:Multiple Trauma / Q000145:classification* / Q000401:mortality; D013597:Systems Analysis