Maldini B, Skuric J, Visnjic S, Fattorini I
Department of Anaesthesia, Resuscitation and Intensive Care Unit, University of Zagreb Children's Hospital, Zagreb, Croatia.
Eur J Pediatr Surg. 2003 Aug;13(4):260-5. doi: 10.1055/s-2003-42244.
Evaluation of trauma care must be an integral part of any system designed for the care of seriously injured patients. This study analyses the validity of TRISS methodology in evaluating traumatised children admitted to the ICU.
A retrospective review of 586 children with major trauma admitted to the Children's Hospital Zagreb was conducted over a 4-year period. The outcome in each patient was assessed using the Trauma Injury Severity Score (TRISS) system to calculate the probability of survival based on anatomical extent of injury and grade of physiological disturbance at the time of admission.
Mean age was 7.8 years and mortality was 5.5 %. Mean ISS of survivors was 9, Revised Trauma Score (RTS) was 6.6, and Glasgow Coma Scale (GCS) was 8. Statistical evaluation included TRISS survival analysis. There were no statistically significant differences between the predicted and the actual number of children who died (predicted 8.3 % vs. actual 5.5 %).
This study documents and confirms TRISS methodology as an effective predictor of both severity of injury and potential for mortality in children with major trauma.
创伤护理评估必须成为任何旨在护理重伤患者的系统的一个组成部分。本研究分析了TRISS方法在评估入住重症监护病房的创伤儿童方面的有效性。
对萨格勒布儿童医院4年间收治的586名严重创伤儿童进行回顾性研究。使用创伤损伤严重程度评分（TRISS）系统评估每名患者的预后，根据入院时的损伤解剖范围和生理紊乱程度计算生存概率。
平均年龄为7.8岁，死亡率为5.5%。幸存者的平均损伤严重程度评分（ISS）为9分，修正创伤评分（RTS）为6.6分，格拉斯哥昏迷量表（GCS）评分为8分。统计评估包括TRISS生存分析。死亡儿童的预测数量与实际数量之间无统计学显著差异（预测8.3% vs. 实际5.5%）。
本研究记录并证实TRISS方法是重伤儿童损伤严重程度和死亡可能性的有效预测指标。
