Agel J Orthop Trauma  Volume 20, Number 8 Supplement, September 2006

1. Name of instrument Hannover Polytrauma Score

2. What it is designed to assess (specific
anatomic area)
3. Method of administration (patient,
clinician, or combined)
4. How to obtain the instrument
Downloaded from https://journals.lww.com/jorthotrauma by BhDMf5ePHKav1zEoum1tQfN4a+kJLhEZgbsIHo4XMi0hCywCX1AWnYQp/IlQrHD3c9CHBlrWfCrdvrGGfZCc/BhhZgMFK9XSBckvA7hecEOB/BDDppDDiw== on 05/12/2018
Severity of overall injury
Physician
Richter M, Krettek C, Otte D, et al.
Correlation between crash severity, injury
severity, and clinical course in car occupants
with thoracic trauma: a technical and medical

study. J Trauma. 2001;51:10–16.

5. Cost involved in obtaining instrument None
6. Method of design Multivariate analysis
7. Statistical validation None
8. Normative data available None
9. Disease-specific data available None
10. References for scientific basis and Oestern H-J, Tscherne H, Sturm J, et al.
reference data Klassifizierung der verletzungsschwere.
Unfallchirurg. 1985;88:465–472.
Richter M, Krettek C, Otte D, et al.
(see reference in #4)
11. Scoring module None
12. What kind of total and subscales Total polytrauma score
do you get
13. Format and number of questions Summated rating scale – 6 items
14. Time for administration Not documented
15. Additional notes Similar to ISS
16. The questionnaire See page S69

S68 r 2006 Lippincott Williams & Wilkins

J Orthop Trauma  Volume 20, Number 8 Supplement, September 2006 Outcomes Instruments

Hannover Polytrauma Score

Points
Head
Minor head injury (GCS score of 13–15) 4
Moderate head injury (GCS score of 8–12) 8
Severe head injury (GCS score of 3–7) 12
Fracture face/Le Fort I 2
Severe fracture face/Le Fort II/III 4
Chest
Sternal fracture, rib fracture (1–3 ribs) 2
Serial rib fracture (>3) 5
Bilateral serial rib fracture 10
Hemo-, pneumothorax 2
Unilateral lung contusion 7
Bilateral lung contusion 9
Unstable thorax 3
Ruptured aorta 7
Pelvis and spine
Simple pelvic fracture 3
Complex pelvic fracture 9
Pelvic and urogenital injury 12
Spine fracture 3
Spine fracture with paraplegia 3
Severe pelvic contusion 15
Abdomen
Spleen rupture 9
Spleen and liver rupture 13 (18)
Extensive liver rupture 13 (18)
Gut, mesenterium, kidney, pancreas injury, each 9
Extremities
Central hip dislocation fracture 12
Simple femur fracture 8
Complex femur fracture (>2 fragments or comminuted) 12
Tibia/fibula fracture 4
Knee ligament rupture, patella, forearm, elbow, ankle fracture 2
Humerus/shoulder fracture 4
Vascular injury proximal of elbow/knee 8
Traumatic amputation thigh/upper arm 12
Traumatic amputation lower leg/forearm 8
Grade II/III open fracture, each 2
Age (yr)
0-39 0
40-49 1
50-54 2
55-59 3
60-64 5
65-69 8
70-74 13
>75 21
PTS Classification, sum of points
Group I 1–19
Group II 20–34
Group III 35–38
Group IV >48
Reprinted with permission of Lippincott Williams & Wilkins. Richter M, Krettek C, Otte D, et al. Correlation between crash severity, injury severity, and clinical
course in car occupants with thoracic trauma: a technical and medical study. J Trauma. 2001;51:10–16.

r 2006 Lippincott Williams & Wilkins S69