ArticleChinese journal of traumatology = Zhonghua chuang shang za zhi2021
New injury severity score (NISS) outperforms injury severity score (ISS) in the evaluation of severe blunt trauma patients.
Article in Chinese journal of traumatology = Zhonghua chuang shang za zhi, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.
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Who cites it
40 citing papers in PubMed.
- Improving Blunt Thoracic Trauma Prognosis: Validation of the Study of the Management of Blunt Chest Wall Trauma Score against Injury Severity Score in an Indonesian Tertiary Hospital.Journal of chest surgery · 2026Article
- Sex-Specific Temporal Patterns of Haemoglobin and Haematocrit as Mortality Predictors in Polytrauma Patients: A Watson Trauma Pathway Explorer Analysis.Journal of clinical medicine · 2026Article
- Comparing non-operative management of abdominal solid organ injuries in pediatric and adult blunt trauma: A meta-analysis and systematic review.Irish journal of medical science · 2026Review
- Evaluating the effectiveness of trauma scores in predicting morbidity and mortality in patients with concomitant thoracic trauma.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2026Article
- Predictive performance of ISS and NISS for clinical outcomes in severely injured trauma patients: a retrospective registry study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- The potential impact of changing the Norwegian trauma Registry inclusion criteria for patients not admitted with trauma team activation: Identifying patient groups to be excluded and considering potential risks.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Observational
- A Retrospective Study of Preventive Anticoagulant Therapy Among Trauma Patients in Yichang Area Through Clinical Data Review and Clinician Survey.International journal of general medicine · 2026Article
- When Pedestrian Crossings Become Danger Zones: Trauma and Mortality Risks in Elderly Pedestrians.International journal of environmental research and public health · 2025Article
- Review
- Evaluation of Traumatic Brain Injury Severity Using the Abbreviated Injury Scale and the Injury Severity Score: A Retrospective Study in Two Eastern European Centers.Journal of clinical medicine · 2025Article
- A pilot study on hemodynamically stable isolated chest trauma patients reveals dysregulation of oxidative metabolism.Metabolomics : Official journal of the Metabolomic Society · 2025Article
- War-related maxillofacial injuries in Ukraine: a retrospective multicenter study.Archives of craniofacial surgery · 2025Article
- Impact of COVID-19 pandemic outbreak on pelvic trauma surgical management.Scientific reports · 2025Article
- Sex differences and gender-oriented characteristics in intensive care unit admissions for patients with traumatic brain injury in Spain.Frontiers in medicine · 2025Article
- Non-demographic dependent mechanisms of DVT formation in patients with traumatic limb fractures: an exploratory cohort study based on limited variable matching.American journal of translational research · 2025Article
- Analysis of influencing factors of sleep quality in severe trauma patients without continuous sedation.Frontiers in medicine · 2025Article
- Cattle-Related Trauma: A 6-Year Retrospective Study of Patients Admitted to a Trauma Center in China.Emergency medicine international · 2025Article
- Predictive capacity of trauma indices for hospitalization and intensive care unit admission.Revista da Escola de Enfermagem da U S P · 2025Article
- Relationship between combat-related traumatic injury and ultrashort term heart rate variability in a UK military cohort: findings from the ADVANCE study.BMJ military health · 2024Article
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Abstract
purposeThe injury severity score (ISS) and new injury severity score (NISS) have been widely used in trauma evaluation. However, which scoring system is better in trauma outcome prediction is still disputed. The purpose of this study is to evaluate the value of the two scoring systems in predicting trauma outcomes, including mortality, intensive care unit (ICU) admission and ICU length of stay.
methodsThe data were collected retrospectively from three hospitals in Zhejiang province, China. The comparisons of NISS and ISS in predicting outcomes were performed by using receiver operator characteristic (ROC) curves and Hosmer-Lemeshow statistics.
resultsA total of 1825 blunt trauma patients were enrolled in our study. Finally, 1243 patients were admitted to ICU, and 215 patients died before discharge. The ISS and NISS were equivalent in predicting mortality (area under ORC curve [AUC]: 0.886 vs. 0.887, p = 0.9113). But for the patients with ISS ≥25, NISS showed better performance in predicting mortality. NISS was also significantly better than ISS in predicting ICU admission and prolonged ICU length of stay.
conclusionNISS outperforms ISS in predicting the outcomes for severe blunt trauma and can be an essential supplement of ISS. Considering the convenience of NISS in calculation, it is advantageous to promote NISS in China's primary hospitals.
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