Abstract Introduction Trauma is a major global health concern, contributing to 16% of the global disease burden and ranking as the second leading cause of morbidity. It is a leading cause of premature death, particularly in individuals under 46 years of age. Road traffic accidents and interpersonal violence are the primary causes, with abdominal trauma being the third most common injury in polytrauma patients, requiring surgery in 25% of cases. Given that most trauma scoring studies have been conducted in Western settings, this study compares the Penetrating Abdominal Trauma Index (PATI) and the Injury Severity Score (ISS) in an Indian context. Methods This prospective observational study was conducted over 18 months in the Department of Surgery at UCMS 40 years, 87.67%), and assault/violence was the leading cause (84.9%). ISS and Revised Trauma Score (RTS) were stronger predictors of mortality, whereas PATI was significantly associated with complications. Conclusion Both ISS and PATI are valuable in trauma assessment, but ISS and RTS are better mortality predictors, while PATI correlates more with complications. Further research is needed to optimize trauma scoring in diverse healthcare settings.
Nadikuditi et al. (Fri,) studied this question.