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Injury severity scores are critical tools used to inform hospital administrative decisions, monitor patient outcomes, and evaluate the quality of patient care. Scores developed and used in high-income countries have historically been resource intensive, requiring expensive diagnostic tests and complex calculations. While some studies have validated these scores for use in LMICs, performance in these contexts tends to be poorer than in HICs.

 

In response to these shortcomings, the Kampala Trauma Score (KTS) was developed in Uganda in 1996 (and later published in 2000) by Olive Kobusingye of the Injury Control Centre-Uganda and Ronald Lett of the Canadian Network for International Surgery. The KTS app (soon to be released) is a new android app that will automate the score's calculation, reducing the burden on data collectors or clinicians to calculate the score by hand. 

 

The KTS is composed of 5 components: age, number of serious injuries, respiratory rate, systolic blood pressure and neurological status, shown below on a screenshot of the KTS calculator. Each of these components are straightforward, and can be reliably collected in most resource-constrained settings. More importantly, the inclusion of 'number of serious injuries' here eliminates the need for expensive diagnostic equipment that numerous other injury severity scores require. 

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