The Usefulness of Trauma Scoring Systems to differentiate Severity of Life-Threatening İnjuries İn Forensic Reports

Objective: In our study, it was aimed to evaluate the effectiveness of the trauma scoring systems used in the reports, in which a situation that endangered the life of the person due to the trauma she/he was exposed to, on the situations that endanger the person’s life. Methods: The data of this study were obtained from retrospective file scans of general forensic and epicrisis reports of people who applied to the court as a result of intentional or negligent injury and who were referred by the judicial authorities to Aydın Adnan Menderes University Practice and Research Hospital between 01 January 2013 and 01 September 2019. In this study, forensic traumatological reports of 1684 cases were examined. Results: Sensitivity 75.6%, selectivity 99.1% for Abbreviated Injury Scale (AIS) optimal cut point 3, sensitivity 72.6% for Injury Severity Score (ISS) optimal cut point 9, selectivity 99%, sensitivity 14.6 for Revised Trauma Score (RTS) optimal cut point 7,0061, The selectivity was calculated as 99,7, the sensitivity for Circulation, Respiration, Abdominal/Thoracic, Motor and Speech Scale (CRAMS) optimal cut point 8 was 13.5%, the selectivity was 99.9%, for Trauma Revised Injury Severity Score (TRISS) the most suitable cut point was 93.610, the sensitivity was 23.4% and the selectivity was 99.7%. Patient groups between 0-17 years; sensitivity 76.1% for AIS optimal cut point 3, selectivity 99.2%, ISS 75% for selective cut point 9, selectivity 99.2%, sensitivity for RTS optimal cut point 7.4745 83.3% , selectivity 85.9%, CRAMS optimal cut point 9 for sensitivity 87.5%, selectivity 86.8%, TRISS optimal cut point 98.95 for sensitivity 95.7%, selectivity 93.7%, Pediatric Trauma Score (PTS) optimal The sensitivity for cut-off point 9 was 96.7%, and the selectivity was 97.3%. Conclusion: In the light of the data obtained from our study, it has been found that TRISS and PTS trauma scoring systems have benefits especially in terms of standardization, but should be approached carefully in terms of their limitations in order to determine the severity of the disease and the possibility of mortality in traumatized patients.