Anatomic Profile - (AP)

Anatomic scoring system

Presented to improve on the ISS by including all the serious injuries in a given body region.

It also weights head and torso injuries more heavily than those in other body regions.

It summarises all serious injuries (AIS3) into four categories:

Category A - Head and spinal cord
Category B - Thorax and anterior neck
Category C - All remaining serious injuries
Category D - All non-serious injuries.

Each component is calculated as the square root of the sum of squares of the AIS scores of all serious injuries within each region. A region with no injury receives a score of zero. Using logistic-regression analysis a probability of survival is calculated. The AP performs better than the ISS in discriminating survivors from non-survivors and may provide a more rational basis for comparing injury severity between patients.

Limitations:

Mathematical complexity
Only modest improvement in predictive performance

Predicting outcome after multiple trauma: which scoring system?; Injury, Volume 35, Issue 4, April 2004, Pages 347-358; M. N. Chawda , F. Hildebrand , H. C. Pape and P. V. Giannoudis

Anatomic Profile - (AP)

Limitations:

Last updated 11/09/2015