AAST injury scoring scales
The American Association for the Surgery of Trauma (AAST) injury scoring scales are the most widely accepted and used system of classifying and categorising traumatic injuries. Injury grade reflects severity, guides management, and aids in prognosis. At the time of writing (mid 2016), 32 different injury scores are available.
The most commonly used injury scoring grades are for the solid viscera:
These scales for spleen, liver, and kidney injuries have been validated showing that increasing grades of injury correlates with increasing mortality, operative rate, and hospitalisation cost 2.
Other scales are less commonly used and include:
- cervical vascular injury
- chest wall
- thoracic vascular injury
- extrahepatic biliary tree
- small bowel
- abdominal vascular injury
- non pregnant
- fallopian tube
- peripheral vascular organ injury
- 1. The American Association for the Surgery of Trauma Injury scoring scales [website]
- 2. Tinkoff G, Esposito TJ, Reed J et-al. American Association for the Surgery of Trauma Organ Injury Scale I: spleen, liver, and kidney, validation based on the National Trauma Data Bank. J. Am. Coll. Surg. 2008;207 (5): 646-55. doi:10.1016/j.jamcollsurg.2008.06.342 - Pubmed citation