1. The Hannover Polytrauma Score is designed to assess the overall severity of injury in polytrauma patients.
2. It is administered by physicians and provides a total polytrauma score based on scores in three anatomical areas: head, chest, and abdomen/pelvis.
3. Scores are assigned based on the severity of injuries in each area and summed to provide an overall score, similar to the Injury Severity Score (ISS) but designed specifically for polytrauma.
1. The Hannover Polytrauma Score is designed to assess the overall severity of injury in polytrauma patients.
2. It is administered by physicians and provides a total polytrauma score based on scores in three anatomical areas: head, chest, and abdomen/pelvis.
3. Scores are assigned based on the severity of injuries in each area and summed to provide an overall score, similar to the Injury Severity Score (ISS) but designed specifically for polytrauma.
1. The Hannover Polytrauma Score is designed to assess the overall severity of injury in polytrauma patients.
2. It is administered by physicians and provides a total polytrauma score based on scores in three anatomical areas: head, chest, and abdomen/pelvis.
3. Scores are assigned based on the severity of injuries in each area and summed to provide an overall score, similar to the Injury Severity Score (ISS) but designed specifically for polytrauma.
Agel J Orthop Trauma Volume 20, Number 8 Supplement, September 2006
1. Name of instrument Hannover Polytrauma Score
2. What it is designed to assess (specific Severity of overall injury anatomic area) 3. Method of administration (patient, Physician clinician, or combined) 4. How to obtain the instrument Richter M, Krettek C, Otte D, et al. Correlation between crash severity, injury severity, and clinical course in car occupants with thoracic trauma: a technical and medical study. J Trauma. 2001;51:10–16. Downloaded from http://journals.lww.com/jorthotrauma by BhDMf5ePHKav1zEoum1tQfN4a+kJLhEZgbsIHo4XMi0hCywCX1AWnYQp/IlQrHD3i3D0OdRyi7TvSFl4Cf3VC4/OAVpDDa8K2+Ya6H515kE= on 03/28/2022
5. Cost involved in obtaining instrument None
6. Method of design Multivariate analysis 7. Statistical validation None 8. Normative data available None 9. Disease-specific data available None 10. References for scientific basis and Oestern H-J, Tscherne H, Sturm J, et al. reference data Klassifizierung der verletzungsschwere. Unfallchirurg. 1985;88:465–472. Richter M, Krettek C, Otte D, et al. (see reference in #4) 11. Scoring module None 12. What kind of total and subscales Total polytrauma score do you get 13. Format and number of questions Summated rating scale – 6 items 14. Time for administration Not documented 15. Additional notes Similar to ISS 16. The questionnaire See page S69
S68 r 2006 Lippincott Williams & Wilkins
J Orthop Trauma Volume 20, Number 8 Supplement, September 2006 Outcomes Instruments
Hannover Polytrauma Score
Points Head Minor head injury (GCS score of 13–15) 4 Moderate head injury (GCS score of 8–12) 8 Severe head injury (GCS score of 3–7) 12 Fracture face/Le Fort I 2 Severe fracture face/Le Fort II/III 4 Chest Sternal fracture, rib fracture (1–3 ribs) 2 Serial rib fracture (>3) 5 Bilateral serial rib fracture 10 Hemo-, pneumothorax 2 Unilateral lung contusion 7 Bilateral lung contusion 9 Unstable thorax 3 Ruptured aorta 7 Pelvis and spine Simple pelvic fracture 3 Complex pelvic fracture 9 Pelvic and urogenital injury 12 Spine fracture 3 Spine fracture with paraplegia 3 Severe pelvic contusion 15 Abdomen Spleen rupture 9 Spleen and liver rupture 13 (18) Extensive liver rupture 13 (18) Gut, mesenterium, kidney, pancreas injury, each 9 Extremities Central hip dislocation fracture 12 Simple femur fracture 8 Complex femur fracture (>2 fragments or comminuted) 12 Tibia/fibula fracture 4 Knee ligament rupture, patella, forearm, elbow, ankle fracture 2 Humerus/shoulder fracture 4 Vascular injury proximal of elbow/knee 8 Traumatic amputation thigh/upper arm 12 Traumatic amputation lower leg/forearm 8 Grade II/III open fracture, each 2 Age (yr) 0-39 0 40-49 1 50-54 2 55-59 3 60-64 5 65-69 8 70-74 13 >75 21 PTS Classification, sum of points Group I 1–19 Group II 20–34 Group III 35–38 Group IV >48 Reprinted with permission of Lippincott Williams & Wilkins. Richter M, Krettek C, Otte D, et al. Correlation between crash severity, injury severity, and clinical course in car occupants with thoracic trauma: a technical and medical study. J Trauma. 2001;51:10–16.