Samenvatting
The purpose of the study was to assess the validity of ISS probabilities as indicators of preventable trauma deaths. 116 charts were reviewed. Nine clinicians classified each case as survivable, potentially survivable, and non-survivable. The ISS was used to classify cases as survivable, potentially survivable and non-survivable. The results showed poor inter-rater reliability among the clinicians. The ISS classification had high agreement with the committee classification. Low agreement was observed for falls and with increasing number of injuries. No additional benefit was demonstrated by using a committee to classify injured patients over applying ISS survival probabilities. The continued use of the ISS is supported.