Organ Injury Scales

    Standardized grading systems for organ injuries based on the American Association for the Surgery of Trauma (AAST) guidelines.

    The Organ Injury Scales (OIS) presented here are based on the standards developed by the American Association for the Surgery of Trauma (AAST). Used with acknowledgment and for educational purposes only. For the most current and official versions, please refer to: https://www.aast.org

    AAST Liver Injury Scale

    Free preview — the complete scale

    GradeDescription
    ISubcapsular hematoma <10% surface area; capsular tear <1cm deep
    IISubcapsular hematoma 10-50% surface area; laceration 1-3cm deep
    IIISubcapsular hematoma >50% surface area; laceration >3cm deep
    IVParenchymal disruption 25-75% of hepatic lobe
    VParenchymal disruption >75% of hepatic lobe; juxtahepatic venous injury

    Higher grade liver injuries typically require more aggressive management and have increased morbidity and mortality rates.

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