Document Detail


The injury severity score in pregnant trauma patients: predicting placental abruption and fetal death.
MedLine Citation:
PMID:  12435948     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The Injury Severity Score (ISS) is the national standard for injury severity assessment but has been rarely validated in the pregnant population. METHODS: We evaluated 294 pregnant women who were hospitalized for injury in Washington State from 1989 to 1997. We used ICDMAP-90 computer software to assign an ISS to all women. We identified injured pregnant women who experienced a placental abruption or a fetal death using the Washington State delivery hospitalization data and the birth certificate or fetal death records. We evaluated the accuracy of the ISS in predicting these adverse outcomes using sensitivity analysis. RESULTS: We found that the ISS was not accurate in predicting placental abruption and fetal death. We also found that relatively minor injuries were associated with adverse pregnancy outcomes. CONCLUSION: A more comprehensive injury assessment tool is needed to accurately predict adverse outcomes in the pregnant trauma population.
Authors:
Melissa A Schiff; Victoria L Holt
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  The Journal of trauma     Volume:  53     ISSN:  0022-5282     ISO Abbreviation:  J Trauma     Publication Date:  2002 Nov 
Date Detail:
Created Date:  2002-11-18     Completed Date:  2002-12-19     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0376373     Medline TA:  J Trauma     Country:  United States    
Other Details:
Languages:  eng     Pagination:  946-9     Citation Subset:  AIM; IM    
Affiliation:
School of Public Health, Department of Epidemiology, University of Washington, Seattle, USA. mschiff@u.washington.edu
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MeSH Terms
Descriptor/Qualifier:
Abruptio Placentae / epidemiology*
Female
Fetal Death / epidemiology*
Humans
Infant, Newborn
Injury Severity Score*
Maternal Mortality
Predictive Value of Tests
Pregnancy
Pregnancy Complications / epidemiology*
Pregnancy Outcome*
ROC Curve
Sensitivity and Specificity
Washington / epidemiology
Wounds and Injuries / complications*
Grant Support
ID/Acronym/Agency:
R01-CA-55348/CA/NCI NIH HHS; T32-CA09168/CA/NCI NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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