A Review of Scoring Systems for Predicting Trauma Mortality in Iran

Assessing the severity of trauma is a quantifiable measure. For several years, various scales have been used to assess the severity of trauma in patients. Evaluation and early prediction of trauma severity, prognosis of mortality and probable survival will provide timely and better treatment. Therefore, we have reviewed the studies about different scoring systems to predict trauma mortality in Iran.

In this study, PRISMA guidelines were used to review the studies. For this purpose, PubMed, Scopus, Magiran, and SID databases were searched to retrieve English and Persian published studies. Searches were conducted without a time limit until February 21, 2023. The studies published that were conducted to compare scoring systems, were included in the study and their characteristics were examined. Data analysis was performed through the content analysis method.

A total of 663 studies were retrieved, after removing duplicates and unrelated ones based on the evaluation of the title, abstract and full text. Finally, 32 studies were included in the review. In 15.62% of the studies, the Trauma Injury Severity Score index has been suggested to evaluate the severity of trauma. Other suggested scoring systems are Acute Physiology and Chronic Health Evaluation (9.37), Glasgow coma scale (9.37), injury severity score (6.25).

According to studies in this study, application of the Trauma Injury Severity Score index is recommended in Iran. This quantitative measure can be used in predicting mortality and assessing plans for service quality. In order to avoid any possible errors, it is better to calculate other indices such as ISS and MGAP together with this index.