To evaluate the New Injury Severity Score (NISS) for classifying bullfighting-related injuries, emphasizing its effectiveness in triaging and managing trauma patients in the context of high-energy trauma events.
Key Findings:
Cohort comprised 149 men and 5 women, median age 32 years.
74.7% of cases involved open trauma, with goring as the predominant mechanism (85.1%).
Median NISS score was 5; 80.5% classified as mild trauma, indicating a predominance of less severe injuries.
Surgical intervention required in 92.2% of cases, with 14% experiencing postoperative complications, highlighting the need for careful monitoring.
In-hospital survival rate was 99.3%, with one intraoperative death, underscoring the effectiveness of surgical interventions.
Interpretation:
The NISS scale effectively stratifies bullfighting trauma severity, identifying patients at higher risk for morbidity and mortality, particularly those with severe injuries, which is crucial for timely intervention.
Limitations:
Retrospective, single-centre design may introduce biases.
Small sample size, especially for moderate-severe and severe trauma cases, limits generalizability.
Conclusion:
The study supports the utility of the NISS in managing bullfighting-related injuries, highlighting the need for larger multicentre studies to validate findings and improve trauma care.
by Manuel José Torres-Jurado, Juan Ramón Gómez-López, Jeancarlos Jhosmer Trujillo-Díaz, Francesco Schenone, Ana Benítez-Riesco, María Pilar Concejo-Cutoli, Laura Vicente-González, Carlos Vaquero Puerta, Juan Carlos Martín-del Olmo
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