The value of trauma scores: Predicting discharge after traumatic brain injury

Amy Kathleen Wagner, Flora Mc Connell Hammond, Jared Hairel Grigsby, Harry James Norton

Research output: Contribution to journalArticle

23 Scopus citations

Abstract

Objective: To determine the association of acute variables with disposition after acute hospitalization. Design: Revised Trauma Score (RTS), Injury Severity Score (ISS), and the Combined Trauma Score Injury Severity Score (TRISS(RTS)) were compared with discharge disposition after acute hospitalization of 378 consecutive patients who sustained a traumatic brain injury (TBI) and were treated at a level 1 trauma center between September 1997 and May 1998. Results: Logistic regression modeling found TRISS(RTS) to predict discharge to home with or without home health assistance or inpatient rehabilitation vs. nursing home placement or death. Subsequent modeling, excluding patients who died or went to nursing homes, identified RTS and ISS as predictors of discharge to home with or without home health vs. inpatient rehabilitation. A sensitivity of 97.78% and 93.91% were achieved with these two models when tested on a population of 4,625 patients with TBI treated during the last 10 yr at the same facility. Conclusions: The results suggest that RTS, ISS, and TRISS(RTS) are predictors of discharge disposition after acute hospitalization with TBI and may be useful measures of rehabilitation services resource planning early in the course of TBI management.

Original languageEnglish (US)
Pages (from-to)235-242
Number of pages8
JournalAmerican Journal of Physical Medicine and Rehabilitation
Volume79
Issue number3
DOIs
StatePublished - May 1 2000
Externally publishedYes

Keywords

  • Injury Severity Score
  • Outcome
  • Revised Trauma Score
  • Trauma Score Injury Severity Score
  • Traumatic Brain Injury

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

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