Injury Severity Scoring in the Resuscitation Room—Is Preliminary Injury Severity Score Accurate?
Main finding · Agreement between preliminary and definitive ISSResult — go to the resultCohen's Kappa 0.51 95% CI 0.50–0.53Authors' conclusion
This study found a moderate but overall acceptable level of agreement between preliminary and definitive ISS in trauma patients.
Study context
- Population
- Trauma patients at the Trauma Center of Rigshospitalet, Denmark, January 2019-May 202479% adult, 67% male
- Participants
- 3,623 patients
- Exposure
- Preliminary Injury Severity Score (ISS) vs definitive ISS
- Outcome
- Interrater agreement of preliminary and definitive ISS (Cohen's Kappa; Bland-Altman plot)
Methodological detailssingle-centre, trauma database
- Single-centre
- Trauma database
Main finding
Agreement between preliminary and definitive ISS
Cohen's Kappa
0.51
95% CI 0.50–0.53
As reported in the abstract
Observational data: associations, not effects.
Further findings
Interrater agreement, seriously injured (ISS 15-24) subgroup (subgroup)
- Lowest agreement: Cohen's Kappa, preliminary vs definitive ISS
- 0.31 (95% CI 0.27-0.35)
Bland-Altman agreement
- Acceptable agreement, though increasing difference in ISS with increasing mean ISS; no other bias or systematic mistakes identified
Original publication
Injury Severity Scoring in the Resuscitation Room—Is Preliminary Injury Severity Score Accurate? Acta Anaesthesiol Scand. Published 18 June 2025. doi:10.
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