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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, 1989.
2. Moore EE, Cogbill TH, Malangoni MA, et al: Organ injury scaling II: pancreas, duodenum, small bowel, colon and rectum. J Trauma 30:1427, 1990
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, 1994
5. Moore EE, Cogbill TH, Jurkovich MD, et al: Organ injury scaling: spleen and liver (1994 revision). J Trauma 38:323, 1995