A Study of the SIRS With Severely Traumatized Patients

The risk of early mortality of polytrauma patients associated to ISS, NISS, APACHE II values and prothrombin time

“…Both are defined with the same scoring system and both describe the severity of trauma based on anatomic region and injury pattern [1,2]. The injury pattern includes the severity of the trauma, and whether it increases the patient’s susceptibility to coagulopathy and subsequent systemic inflammatory response syndrome (SIRS) and other trauma-related diseases [5-7]. The anatomical injury directly indicated by ISS and NISS involves bleeding and leads to problems such as hypothermia and the coagulopathy of trauma shock [5].…”

Patients With DID Are Found and Researched More Widely Than Boysen and VanBergen Recognized

“…One study found that feigned DID could be distinguished from genuine DID using a forensic ''gold standard'' interview designed to assess feigning of psychiatric illness (Brand et al, 2006). Rogers et al (2009) replicated the study by Brand et al (2006) using a sample of 34 patients with DID who were part of a larger sample of 75 severely traumatized patients. Not only did Boysen and VanBergen overlook this replication, and thereby erroneously indicate that the lack of replication provided support for the SCM, but they also failed to include the 34 DID cases in their count of DID cases.…”

Detection of malingering: psychometric evaluation of the Chinese version of the structured interview of reported symptoms-2

“…The SIRS-2 has been validated for use in clinical and non-clinical samples [9]. The SIRS-2 is widely used for the identification of malingering in forensic psychiatry [10], and it has been validated for the detection of feigning specific disorders or cognitive deficits among psychiatric populations and adolescent offenders [11-13]. However, in some cases, the SIRS-2 might misclassify the examinee, which will limit the SIRS-2 applicability.…”

“…However, in some cases, the SIRS-2 might misclassify the examinee, which will limit the SIRS-2 applicability. For example, traumatized inpatients with a broad array of presenting symptoms, especially those who report childhood trauma and dissociative symptoms have been misclassified [11]. …”