Comparison of manual and computer assigned injury severity scores.
Lauren OttoAngela WangKrista WheelerJunxin ShiJonathan I GronerKathryn J HaleyKathryn E NussHenry XiangPublished in: Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention (2019)
Manually and computer assigned ISS had strong comparative agreement for minor injuries but did not correlate well for critical injuries (ISS=25-75). The LOS and mortality predictive power were significantly higher for manually assigned ISS when compared with computer assigned ISS in both PTC and NTDB data sets. Thus, hospitals should be cautious about transitioning to computer assigned ISS, specifically for patients who are critically injured.