ACCÈS MEMBRES
Identifiant :  
Mot de passe :
> Numéro d'adhérent ou mot de passe oublié
> Devenir membre de la SFAR




LES AFAR

ESPACE USAGERS
ET GRAND PUBLIC

Sondage SFAR - Précédents sondages

separateur

Ce site respecte les principes de la charte HONcode de HON Ce site respecte les principes de la charte HONcode.
Site certifié en partenariat avec la Haute Autorité de Santé (HAS).
Vérifiez ici.

Ressources et utilitaires

Scoring systems for ICU and surgical patients:

ISS - RTS - TRISS (Injury Severity Score - Revised Trauma Score - Trauma Injury Severity Score)


Variables Severity level (help) Points
Head and neck
Face
Chest
Abdomen, pelvic contents
Extremity, pelvic girdle
External
 
ISS =
Respiratory rate (per min)
Systolic blood pressure (mmHg)
Glasgow coma scale (help)

RTS
=
Age
(Pediatric cases (Ages < 15) use the blunt model for both blunt and penetrating mechanisms of injury.)

Predicted death rate (blunt)
TRISS
=



Predicted death rate (penetrating)
TRISS
=
ISS = Sum ((three most weighted region injury)2).
ISS equals 75 for any patient with an AIS 6 injury.
TRISS (blunt): Logit =-0.4499 + RTS*0.8085 + ISS*-0.0835 + (age.points)*-1.7430
Predicted death rate = 1/(1 + eLogit)
TRISS (penetrating): Logit =-2.5355 + RTS*0.9934 + ISS*-0.0651 + (age.points)*-1.1360
Predicted death rate = 1/(1 + eLogit)
RTS = Sum ((resp.rate.points)*0.2908; (sbp.points)*0.7326; (Glasgow.points)*0.9368)

 References

 

<< Back to the scores page

Definitions

The current definition of ISS as used in the TRISS model incorporates AIS 6 severity - described in the AIS Manual (AIS-90)

Recommendations For Uniform Reporting of Data following Major Trauma - The Utstein Style (An Initiative)
International Trauma Anaesthesia and Critical Care Society (ITACCS) Initiative
http://pdm.medicine.wisc.edu/itaccs.htm 

Blunt injury : Non-penetrating, but including crush, laceration, amputation and asphyxia.
Penetrating injury : Bullet, knife, or spike. 

Back to TRISS

Eyes Open Verbal Motor
Spontaneous
To speech
To pain
Absent
Converses / Oriented
Converses / Disoriented
Inappropriate
Incomprehensible
Absent
Obeys
Localizes pain
Withdraws (flexion)
Decorticate (flexion) rigidity
Decerebrate (extension) rigidity
Absent

Glasgow=

Back to TRISS 

<< Back to the scores page

SFAR - Société Française d’Anesthésie et de Réanimation - 74 Rue Raynouard, 75016 PARIS - Tél. : 01 45 25 82 25 Télécopie : 01 40 50 35 22
Mentions légales - Charte éditoriale - Contactez-nous