Trauma score

Medicine Journal

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 22%(11). 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%....
February 2007
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