Concepedia

TLDR

The Organ Injury Scaling (O.I.S.) is an initial classification system for organ injury severity that must be refined as clinical experience dictates. The committee has been charged to devise injury severity scores for individual organs to facilitate clinical research. The grading scheme is an anatomic description scaled from 1 to 5, representing the least to the most severe injury. The first report addressed O.I.S.’s for the spleen, liver, and kidney, and this paper proposes O.I.S.’s for the pancreas, duodenum, small bowel, colon, and rectum. The work was conducted by the Committee of the American Association for the Surgery of Trauma (A.A.S.T.).

Abstract

The Organ Injury Scaling (O.I.S.) Committee of the American Association for the Surgery of Trauma (A.A.S.T.) has been charged to devise injury severity scores for individual organs to facilitate clinical research. Our first report (1) addressed O.I.S.'s for the Spleen, Liver, and Kidney; the following are proposed O.I.S.'s for Pancreas (Table I), Duodenum (Table II), Small Bowel (Table III), Colon (Table IV), and Rectum (Table V). The grading scheme is fundamentally an anatomic description, scaled from 1 to 5, representing the least to the most severe injury. We emphasize that these O.I.S.'s represent an initial classification system which must undergo continued refinement as clinical experience dictates.