Systematic review of predictive performance of injury severity scoring tools

Tohira, Hideo; Jacobs, Ian; Mountain, David; Gibson, Nick; Yeo, Allen

doi:10.1186/1757-7241-20-63

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Table 1 List of included studies and reported AUROCs

From: Systematic review of predictive performance of injury severity scoring tools

Author	Year	Country	Hospital	Tool	AUROC	N	Mortality	Mechanism	Code	Age
Aydin[79]	2008	Turkey	1	ISS	0.907	550	21.6%	ND	AIS90	>16
				NISS	0.914
				TRISS (M)	0.934
Barbieri[31]	2004	Italy	1	TRISS (M)	0.946	93	28.0%	ND	ND	ND
Becalick[32]	2001	UK	1	TRISS (N)	0.941	677	16.2%	B + P	ND	ND
Bergeron[33]	2004	Canada	1	TRISS (M)	0.873	5,672	6.9%	B	ND	≥15
				TRISS (N)	0.878
Bijsma[34]	2004	Netherland	1	ISS	0.84	668	18.4%	ND	ND	ND
Bonaventura[80]	2001	Czekoslovakia	1	ISS	0.57	1,113	18.0%	ND	ND	ND
				TRISS (M)	0.78
Bouamra[35]	2006	UK	106	TRISS (N)	0.937	20,895	4.4%	B	ND	adult
Bouillon[36]	1997	Germany	32	ISS	0.961	612	30.9%	ND	AIS90	all
				TRISS (M)	0.974
Brenneman[37]	1998	Canada	1	ISS	0.799	2,328	13.0%	B	ND	all
				NISS	0.852
Burd[19]	2008	US	Multiple	ICISS (T)	0.726	276,366^*1	2.8%	B + P	ICD9CM	all
				SWI (T)	0.743
				ICISS (I)	0.793
				ICISS (T)	0.855	312,592^*2	5.1%
				SWI (T)	0.866
				ICISS (I)	0.867
Chytra[81]	1999	Czekoslovakia	1	ISS	0.89	165^*3	17.0%	ND	ND	≥18
				TRISS (M)	0.85
				ISS	0.76	109^*4	38.0%
				TRISS (M)	0.83
Davie[38]	2008	New Zealand	ND	ICISS (T)	0.777	186,835	5.3%	ND	ICD10AM	ND
				ICISS (T)	0.851
Dillion[39]	2005	UK	ND	ISS	0.832	53,286	4.1%	B	ND	≥16
				NISS	0.827
				TRISS (N)	0.939	12,606	4.4%
DiRusso[40]	2000	US	25	ISS	0.766	2,768	8.4%	all	ND	all
				TRISS (M)	0.895^*5
				TRISS (M)	0.918^*6	2,673	8.3%
				TRISS (N)	0.92	2,768	8.4%
Eftekhar[41]	2005	Iran	6	ISS	0.944	7,226	3.8%	all	AIS90	all
				TRISS (M)	0.969
Fischler[42]	2007	Switzerland	1	ISS	0.75	208	13.0%	ND	ND	adult
Frankema[43]	2002	Netherland	1	TRISS (M)	0.975	1,024	6.9%	B + P	AIS90	≥15
Frankema[44]	2005	Netherland	1	TRISS (M)	0.94	1,102	11.0%	B + P	AIS90	≥15
Gabbe[45]	2005	Australia	Multiple	TRISS (M)	0.87	1,387	4.4%	B	NR	all
Glance[47]	2009	US	359	ISS	0.868	66,214	4.2%	B + P	ND	≥1
	2009	US	68	SWI (T)	0.862	749,374	5.0%	B + P	ICD9CM	≥1
Glance[46]				ICISS (T)	0.85
Guzzo[48]	2005	US	1	ISS	0.791	2,412	15.1%	all	ND	all
				TRISS (M)	0.97
Hannan[50]	1999	US	192	TRISS (M)	0.858	20,883	7.2%	B	AIS90	≥13
				TRISS (N)	0.857
Hannan[7]	2005	US	192	ISS	0.776	39,534	6.9%	B	AIS90	ND
				NISS	0.786
				ICISS (T)	0.809
Hannan[49]	2007	US	ND	SWI (I)	0.754	117,630	2.9%	all	ICD9CM	≥12
				SWI (T)	0.764
				ICISS (I)	0.744
				ICISS (T)	0.745
Harwood[51]	2006	4 countries (Germany, Netherlands, Switzerland, Austria)	82	ISS	0.78	10,062	NR	B	ND	≥16 & ≤70
				NISS	0.785
				ISS	0.787	549	NR	P
				NISS	0.793
Hunter[52]	2000	UK	ND	TRISS (M)	0.9411	7,831	NR	ND	ND	ND
				TRISS (N)	0.9426
Jamulitrat[53]	2001	Thailand	1	ISS	0.966	2,044	5.6%	all	AIS90	all
				NISS	0.974
Kilgo[54]	2006	US	125	TRISS (M)	0.939	310,958	5.0%	B + P	ND	all
				TRISS (N)	0.95
Kim[8]	1999	Korea	2	ISS	0.892	367	21.3%	B	ND for AIS	ND
				ICISS (T)^*7	0.843				ICD10
				ICISS (T)^*8	0.909				ICD9CM
				TRISS (N)	0.958
Kroezen[55]	2007	Netherland	2	TRISS (M)	0.806	349	14.0%	B + P	ND	all
				TRISS (N)	0.891	179	22.0%
Kuhls[56]	2002	US	1	ISS	0.93	3,855	3.5%	B + P	ND	all
				TRISS (M)	0.96
Lane[57]	1996	Canada	12	TRISS (N)	0.908	1,793	7.9%	ND	AIS90	ND
Lavoie[58]	2004	Canada	3	ISS	0.818	23,306	6.3%	B	ND	≥16
				NISS	0.824
				ISS	0.84	957	15.9%	P
				NISS	0.824
				ISS	0.819	24,263	6.6%	B + P
				NISS	0.827
Macleod[59]	2003	Uganda	1	ISS	0.811	150	25.5%	all	ND	≥16
				TRISS (M)	0.871
Meredith[9]	2002	US	ND	ISS	0.876	76,871	5.3%	B + P	ND for AIS	all
				NISS	0.871
				ICISS (T)	0.893				ICD9CM
Meredith[60]	2003	US	88	ICISS (T)^*9	0.89	170,853	5.4%	B + P	ICD9CM	all
				ICISS (T)^*10	0.882
Meredith[61]	2003	US	ND	ICISS (I)	0.892	192,347	5.1%	B + P	ICD9CM	all
				ICISS (T)	0.875
Millham[62]	2004	US	ND	TRISS (M)	0.837	31,000	4.6%	B	ND	all
				TRISS (N)	0.936
				TRISS (M)	0.982	5,200	9.9%	P
				TRISS (N)	0.981
Moore[10]	2008	Canada	ND	ISS	0.822	25,111	7.3%	B + P	AIS90	≥16
				NISS	0.831
				ICISS (T)	0.852				ICD9
Moore[63]	2009	Canada, US	Multiple	TRISS (N)	0.928	178,377	6.2%	B	ND	>16
Osler[11]	1996	US	1	ISS	0.866	2,337	NR	B	ICD9	all
				ICISS (T)	0.918
				ISS	0.906	805	NR	P
				ICISS (T)	0.93
				ISS	0.87	3,142	9.0%	B + P
				ICISS (T)	0.921	3,142	9.0%	B + P
Osler[3]	1997	US	2	ISS	0.869	3,136^*11	9.0%	B + P	AIS90	all
				NISS	0.896
				ISS	0.896	3,449^*12	7.0%
				NISS	0.907
Osler[12]	1997	US	1	ISS	0.843	1,812	2.5%	all	ND for AIS	all
				ICISS (T)^*13	0.884				ICD9
				ICISS (T)^*14	0.872
Osler[64]	2008	US	206	ISS	0.871	140,000	4.1%	all	ND	≥1
Rabbani[65]	2007	Iran	3	TRISS (N)	0.93	2,514	6.0%	all	ND	all
Raum[66]	2009	4 countries (Germany, Netherlands, Switzerland, Austria)	97	ISS	0.722	1,292	18.9%	all	ND	≥16
				NISS	0.764
				TRISS (M)	0.851
Reiter[67]	2004	Australia	Multiple	TRISS (M)	0.84	5,538	12.3%	all	ND	≥18
Rhee[68]	1990	US	6	ISS	0.7967	691	15.8%	all	ND	≥11
Rutledge[69]	1997	US	ND	ISS	0.939	44,032	6.5%	all	ND for AIS	all
				ICISS (T)^*15	0.939				ICD9CM
				ICISS (T)^*16	0.929
				ICISS (T)^*9	0.858
				ICISS (T)^*17	0.957
Rutledge[70]	1998	US	Multiple	ICISS (T)	0.957	9,438	5.1%	all	ICD9CM	all
Rutledge[13]	1998	US	13	ISS	0.667	7,276	3.8%	all	ND for AIS	all
				ICISS (T)	0.916				ICD9CM
				TRISS (M)	0.877
Sacco[14]	1999	US	26	ISS	0.86	30,287	7.1%	all	ND for AIS	all
				NISS	0.86
				ICISS (T)^*15	0.87				ICD9CM
				ICISS (T)^*18	0.88
Sammour[71]	2009	New Zealand	1	ISS	0.8547	1,197	3.7%	all	ND	≥15
				TRISS	0.963
Stephensen[15]	2002	New Zealand	ND	ISS	0.847	340,000	1.1%	all	AIS90	all
				NISS	0.829
				ICISS (T)	0.901				ICD9
Suarez-Alvarez[73]	1995	Spain	1	TRISS (M)	0.85	404	19.6%	B + P	ND	ND
Tamin[72]	2008	Lebanon	1	ISS	0.881	891	3.6%	all	ND	all
				NISS	0.887
Tay[74]	2004	US	1	ISS	0.922	NR	NR	B	ND	all
				NISS	0.923
				ISS	0.943	NR	NR	P
				NISS	0.924
				ISS	0.942	6,089		B + P
				NISS	0.936
Ulvik[75]	2007	Norway	1	ISS	0.61	325	16.9%	ND	AIS98	>18
Vassar[76]	1999	US	6	TRISS (M)	0.82	2,414	12.3%	B + P	AIS90	≥16
West[16]	2000	US	1	ICISS (T)	0.94	9,923	NR	B + P	ICD9CM,	all
				TRISS (M)	0.947				AIS90
Wong[77]	1996	Canada	1	TRISS (M)	0.89	470	13.0%	all	ND	all
Wong[17]	2008	Hong Kong	1	ISS	0.8677	1,166	13.8%	B	ND for AIS,	all
				ICISS (I)	0.8379				ICD9
				ICISS (T)	0.851
Zhao[78]	2008	China	1	ISS	0.922	1,532	NR	B	ND	≥16
				NISS	0.923
				ISS	0.943	578	NR	P
				NISS	0.922
				ISS	0.943	2,110	NR	B + P
				NISS	0.938

AIS, Abbreviated Injury Scale; ISS, Injury Severity Score; NISS, New ISS; ICISS, International Classifications of Diseases-based (ICD-based) ISS; TRISS, Trauma and ISS: TRISS(M), TRISS with coefficients based on the Major Trauma Outcome Study (MTOS); TRISS(N), TRISS with coefficients based on non-MTOS population; ICISS–(T), product of traditional Survival Risk Ratios (SRRs); ICISS(I), product of independent SRRs; SWI, Single Worst Injury; SWI (T), SWI of traditional SRRs; SWI(I), SWI of independent SRRs.
*1, Nationwide Inpatient Sample; *2, National Trauma Data Bank (NTDB); *3, polytrauma without brain injury; *4, polytrauma with brain injury; *5, data in 1995; *6, data in 1996.
*7, SRRs derived from ICD10; *8, SRRs derived from ICD9CM; *9, SRRs derived from North Carolina Hospital Discharge Database; *10, SRRs derived from NTDB.
*11, Albuquerque data; *12, Portland data; *13, SRRs derived from Hospital Information System; *14, SRRs derived from trauma registry; *15, SRRs derived from North Carolina Trauma Registry; *16, SRRs derived from Agency for Health Care Policy Healthcare Cost Utilization Project; *17, SRRs derived from San Diego Trauma Registry; *18, SRRs derived from Pennsylvania Trauma Outcome Study.
UK, United Kingdom; US, United States of America; NZ, New Zealand.
B, blunt injury; P, penetrating injury; B + P, blunt and penetrating injuries; ND, not described; NR, not reported; NA, not applicable.

Back to article page

ISSN: 1757-7241

Contact us

Submission enquiries: Access here and click Contact Us
General enquiries: info@biomedcentral.com