Citation

Sun J, Jiang XC. Zhongguo Wei Zhong Bing Ji Jiu Yi Xue 2006; 18(1): 36-38.

Affiliation

Department of Emergency Medicine, 97th Hospital of PLA, Xuzhou 221004, Jiangsu, China.

Copyright

(Copyright © 2006, Zhongguo wei zhong bing ji jiu yi xue za zhi bian ji bu)

DOI

unavailable

PMID

16464385

Abstract

OBJECTIVE: To investigate the relationship between trauma score (TS) and complications and interventional strategies in trauma patients in the Emergency Department. METHODS: The injury severity was assessed with TS, and complications were recorded in 1,826 trauma patients in Emergency Department. The interventions, monitoring and imaging examinations were initiated promptly. RESULTS: The TS ranged from 1 to 16 points, and the lower the TS the poorer the patient's condition. The patients with score of 10 or above accounted for 73.06% of patients, those with score of 10 or below accounted for 26.94%. When they left Emergency Department in 91.84% of the patients TS was above 10, while 8.16% of them TS was 10 or below (both P<0.001). The patients with score of 10 or below had a higher rate of severe complications including hypotension, shock, abnormal respiration, and cardiac arrest. The lower the TS, the larger the amount of fluid resuscitation required. CONCLUSION: TS provides an objective value to indicate the seriousness of the patient's condition, and it is valuable to the attending to plan the strategies of intervention, monitoring and necessary instrumental examinations.

Language: zh