Assessment of the correlation between the Vittel criteria and the ISS score: A novel approach to pre-hospital severe trauma patient’s triage

This study aimed to improve pre-hospital triage of trauma patients by evaluating the correlation between the Vittel triage criteria and the Injury Severity Score (ISS). The goal was to enhance the accuracy of identifying severe trauma cases in the field. The researchers conducted a longitudinal study over two years, collecting data on trauma patients transported by emergency medical services. They calculated Vittel and ISS scores to determine predictive criteria for severe injuries. The study identified seven key criteria associated with severe trauma, including factors like Glasgow Coma Scale score, fall height, severe burns, pelvic fracture, suspected spinal cord injury, fluid resuscitation volume, and catecholamine use.

• 1
  Seven criteria were significantly associated with severe trauma (ISS >15): Glasgow Coma Scale<13, fall>6 m, severe burn, pelvic fracture, suspected spinal cord injury, Fluid resuscitation>1000 ml, Catecholamine.
• 2
  Physiological variables and pre-hospital resuscitation were significant categories in predicting trauma severity.
• 3
  A simplified Vittel score using seven key variables showed similar predictive performance to the full Vittel score.