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. 2026 May 27;34:130. doi: 10.1186/s13049-026-01634-0

Table 3.

Performance of single criteria

Criterion Total (n) ISS > 15 (n) PPV (%) 95% CI
1 Physiology
1.1 RR < 10 or > 29/min or need for ventilatory support 256 111 43.4 37.3–49.4
1.2 Oxygen saturation (SpO2) < 90% without O2 50 15 30.0 17.3–42.7
1.3 Heart rate > 130/min 44 8 18.2 6.8–29.6
1.4 Systolic BP < 90 54 16 29.6 17.5–41.8
1.5 GCS < 14 259 55 21.2 16.3–26.2
1.6 Severe hypothermia without normal circulation 1 1 100 -
2 Anatomical injury
2.1 Facial trauma with threatened airway 6 2 33.3 0-71.1
2.2 Cranial fracture 8 4 50.0 15.4–84.6
2.3 Penetrating injury to head, neck, torso and extremities proximal to elbow/knee 58 4 6.9 3.8–13.4
2.4 Severe pain in thorax (suspicion of rib fractures) 227 43 18.9 13.8–24.1
2.5 Massive haemorrhage 9 0 0 -
2.6 Crush injury 1 0 0 -
2.7 Two or more fractures in long bones 14 5 35.7 10.6–60.8
2.8 Severe pain in pelvic region (suspicion of pelvic fracture) 85 13 15.3 7.6–22.9
2.9 Suspicion of spinal cord injury 45 17 37.8 23.6–51.9
2.10 Injury in two body sections (head/neck/thorax/abdomen/pelvis/spinal cord/femur) 327 34 10.4 7.1–13.7
2.11 Burn injury, second or third degree > 15% body surface (children > 10%) or inhalation injury 25 3 12.0 0-24.7
3 Mechanism of injury
3.1 Vehicle crash > 50 km/h without use of seat belt or triggered airbag 68 1 1.5 0-4.3
3.2 Vehicle crash where car has rolled over 68 0 0 -
3.3 Vehicle crash, person trapped 9 0 0 -
3.4 Vehicle crash, ejection from automobile 1 0 0 -
3.5 Auto vs. pedestrian/bicyclist 111 1 0.9 0-2.7
3.6 Fall from height >5 m for adults and >3 m for children 76 7 9.2 2.7–15.7
4 Patient factors
4.1 Age > 60 years 146 24 16.4 10.4–22.5
4.2 Age < 5 years 26 1 3.8 0-11.2
4.3 Severe disease (kidney/heart/lung) 3 0 0 -
4.4 Pregnant patient > week 20 5 0 0 -
4.5 Anticoagulants 5 2 40.0 0–83.0
4.6 Under the influence of drugs/alcohol 71 6 8.5 2.0-14.9