title: Comparison of trauma scores for predicting mortality and morbidity on trauma patients.
abstract: BACKGROUND
  In this study, we compared the anatomical, and physiological scoring systems trauma revised injury severity score (TRISS), revised trauma score (RTS), injury severity score (ISS), new injury severity score (NISS) to each other, to find out the most accurate and reliable trauma score for the risk classification of morbidity and mortality among the trauma patients.
  
  
  METHODS
  This is a cross-sectional study, which included 633 patients who admitted to our University Hospital Emergency Department during an 8-month period due to trauma. All blunt and penetrating traumas (traffic accident, assault, etc.) patients above 16 years were included.
  
  
  RESULTS
  Arrival time trauma scores (ISS, NISS, RTS, and TRISS) of the patients was calculated. Mean trauma score for the mortality prediction was calculated, and the p value was equal for all (p=0.001). Trauma scores were also analyzed for the hospitalization time in intensive care unit (ICU). While NISS, RTS, and TRISS values were significant (p=0.048, p=0.048, and p=0.017, respectively), ISS value was not significant (p=0.257) for predicting the ICU hospitalization time. Only TRISS was a good predictor for the mechanically ventilation time in ICU patients (p=0.01).
  
  
  CONCLUSIONS
  In conclusion, we determined that the anatomical trauma scores (NISS, ISS) predicted the hospitalization and ICU necessities better, whereas TRISS, an anatomo-physiological trauma score, defined the ICU hospitalization and mechanically ventilation time better.
authors.affiliation: Department of Emergency Medicine, Gaziantep State Hospital; Gaziantep, Turkey.
authors.forename: Reyhan
authors.initials: R
authors.lastname: Orhon
authors.affiliation: Department of Emergency Medicine, Cumhuriyet University Hospital, Sivas, Turkey.
authors.forename: Sevki Hakan
authors.initials: SH
authors.lastname: Eren
authors.affiliation: Department of Emergency Medicine, Cumhuriyet University Hospital, Sivas, Turkey.
authors.forename: Sule
authors.initials: S
authors.lastname: Karadayı
authors.affiliation: Department of Emergency Medicine, Cumhuriyet University Hospital, Sivas, Turkey.
authors.forename: Ilhan
authors.initials: I
authors.lastname: Korkmaz
authors.affiliation: Department of Emergency Medicine, Cumhuriyet University Hospital, Sivas, Turkey.
authors.forename: Abuzer
authors.initials: A
authors.lastname: Coşkun
authors.affiliation: Department of Orthopaedics and Traumatology, Ankara Yenimahalle State Hospital, Ankara, Turkey.
authors.forename: Mehmet
authors.initials: M
authors.lastname: Eren
authors.affiliation: Department of Cardiovascular Surgery Service, Cumhuriyet University Hospital, Sivas, Turkey.
authors.forename: Nurkay
authors.initials: N
authors.lastname: Katrancıoğlu
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D009017:Morbidity; D015599:Trauma Severity Indices; D014421:Turkey / Q000453:epidemiology; D014947:Wounds and Injuries / Q000145:classification* / Q000175:diagnosis / Q000453:epidemiology / Q000401:mortality*; D055815:Young Adult