Medicine Journal 2 2007; 25-42
For more than 35 years various scoring
systems have been used as a method to asses
the injury severity of multi-system trauma.
They have been used as a tool for triage, for
emergency-room quality management, for
educational reasons or, nowadays, in order
to evaluate the cost effectiveness of either a
complete hospital or a single department.
This review provides the knowledge to score
multi-system traumatized patients after their
first treatment in the emergency room. It
shows advantages, disadvantages, and
limitations of various trauma scores which
includes knowledge about the used parameters,
the type of validation, the medical
system in their country of origin, and of
course their mathematical background.
Relevant examples like physiological
trauma scores (GCS, RTS, APACHE),
anatomic, injury pattern based scores (ISS,
NISS, ICISS), biological aspects, mixed
scoring systems (PTS, TRISS, ASCOT).
These scores are explained in detail and
discussed as to their practicability.
Material and method The study has a
retrospective character and it has been
realized within a period of time January
2006 till June 2006. This study consistsof 50 cases all patients admitting and
treating in National Trauma Center, which
belongs to University Central Military
Hospital. The distribution by sex are M
74%(37), F 26%(13), by age are as
following 0-15 years old 12%(6), 15-55
years old 66%(33), over 55 years old
The Analysis of data : Value of AIS is
variable from 3-27. Value of ISS is
variable from 5-57. In this study is evident
that value of RTS is variable from 3,274-
7,841 that in general is in indirect
relationship with value of ISS, that
depending on trauma mechanism, situation
of traumatic patient in coming by hospital
(BP; RF:GCS) and age of patient is very
important. Value of TRISS (Mortality) is
variable from 0,4-97%....