A REVISION OF THE TRAUMA SCORE
A REVISION OF THE TRAUMA SCORE
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DOI：
10.1097/00005373-198905000-00017
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发表时间：
1989-05-01
影响因子：
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通讯作者：
FLANAGAN, ME
中科院分区：
文献类型：
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作者：
CHAMPION, HR;SACCO, WJ;FLANAGAN, ME
创伤评分(TS)已修订。此次修订包括格拉斯哥昏迷评分(GCS)、收缩压(SBP)和呼吸频率(RR)，不包括现场难以评估的毛细血管再充盈和呼吸扩张。修订后的评分有两个版本，一个用于分诊(T-RTS)，另一个用于结果评估和损伤严重程度控制(RTS)。与基于TS和GCS值的分类标准相比，T-RTS，即GCS、SBP和RR编码值的总和，显示出更高的敏感性和一些特异性的损失。T-RTS正确地识别出超过97%的死亡患者需要创伤中心的护理。T-RTS分类标准不需要对编码值求和，并且比TS标准更容易实现。RTS是编码变量值的加权和。与TS相比，RTS在结果预测方面表现出显著提高的可靠性。对于严重颅脑损伤的患者，RTS也比TS产生了更准确的结果预测。
The Trauma Score (TS) has been revised. The revision includes Glasgow Coma Scale (GCS), systolic blood pressure (SBP), and respiratory rate (RR) and excludes capillary refill and respiratory expansion, which were difficult to assess in the field. Two versions of the revised score have been developed, one for triage (T-RTS) and another for use in outcome evaluations and to control for injury severity (RTS). T-RTS, the sum of coded values of GCS, SBP, and RR, demonstrated increased sensitivity and some loss in specificity when compared with a triage criterion based on TS and GCS values. T-RTS correctly identified more than 97% of nonsurvivors as requiring trauma center care. The T-RTS triage criterion does not require summing of the coded values and is more easily implemented than the TS criterion. RTS is a weighted sum of coded variable values. The RTS demonstrated substantially improved reliability in outcome predictions compared to the TS. The RTS also yielded more accurate outcome predictions for patients with serious head injuries than the TS.