Organ Injury Scaling
The Organ Injury Scaling given here was developed by the Organ
Injury Scaling Committee of the American
Association for the Surgery of Trauma. Originally convened in
1987, these scoring systems are modified and updated as deemed appropriate.
The scale is graded 1 through 6 for each organ, 1 being least
severe and 5 the most severe injury from which the patient may survive.
Grade 6 injuries are by definition not salvageable.
The original papers, complete with associated ICD-9 codes are
all from the Journal of Trauma, referenced below :
1. Moore EE, Shackford SR, Pachter HL, et
al: Organ injury scaling - spleen, liver and kidney. J Trauma 29:1664,
2. Moore EE, Cogbill TH, Malangoni MA, et al: Organ injury scaling
II: pancreas, duodenum, small bowel, colon and rectum. J Trauma
3. Moore EE, Cognill TH, Jurkovich GJ, et al: Organ injury scaling
III: chest wall, abdominal vascular, ureter, bladder and urethra.
J trauma 33:337,1992
4. Moore EE, Malangoni MA, Cogbill TH, et al: Organ injury scaling
IV: thoracic vascular, lung, cardiac and diaphragm. J Trauma 36:229,
5. Moore EE, Cogbill TH, Jurkovich MD, et al: Organ injury scaling:
spleen and liver (1994 revision). J Trauma 38:323, 1995