Ali Ali B, Fortún Moral M, Belzunegui Otano T, Reyero Díez D, Castro Neira M
Servicio Navarro de Salud-Osasunbidea.
An Sist Sanit Navar. 2017 Apr 30;40(1):103-118. doi: 10.23938/ASSN.001.
In this article we review the development of the most-used scales for severe trauma patients over the past 40 years. It is well known that anatomical scales are effective for measuring the severity of injuries and for predicting results. Physiological scales measure the dynamic component after trauma, with a great influence on the prognosis of injured patients. Metabolic scales, both lactate and base deficit, are reflections of tissue hypoperfusion states and therefore shock. The combined scales are used for prediction and comparative assessment of results. The inclusion of factors that influence the prognosis of trauma patients has led to the development of new scales. However, they lack external validation studies for their widespread use. Until these validation studies are conducted caution should be taken with the use of existing scales.
在本文中，我们回顾了过去40年中用于严重创伤患者的最常用量表的发展情况。众所周知，解剖学量表在测量损伤严重程度和预测结果方面很有效。生理学量表测量创伤后的动态因素，对受伤患者的预后有很大影响。代谢量表，包括乳酸和碱缺失，反映了组织灌注不足状态，进而反映休克状态。综合量表用于预测和比较结果评估。纳入影响创伤患者预后的因素促使了新量表的发展。然而，它们缺乏广泛应用所需的外部验证研究。在进行这些验证研究之前，使用现有量表时应谨慎。
