Bouillon B, Neugebauer E, Rixen D, Lefering R, Tiling T
Chirurgische Klinik, Universität zu Köln.
Zentralbl Chir. 1996;121(11):914-23.
Trauma Score Systems attempt to summarize the severity of injury in a single value. They provide a better classification of trauma patients and translate different severities of injury in a common language. They enable thereby comparisons between hospitals or trauma systems. Young doctors can control their clinical judgement with scoring systems and will gain experience. Scoring systems therefore increase safety and can help in decision making. As accuracy of scoring systems is never 100% individual decisions can never rely on scores only. Glasgow Coma Scale, Revised Trauma Score, Injury Severity Score and TRISS are the most often used international scores for severely injured patients. Their sensitivity and specificity, validity, reliability and practicability have been studied and proved in many trials. The role of these scoring systems for quality management purposes in the treatment of severe trauma is actually studied with the Trauma Registry of the German Society for Trauma Surgery.
创伤评分系统试图用单一数值来概括损伤的严重程度。它们能更好地对创伤患者进行分类，并用一种通用语言来描述不同程度的损伤。这使得不同医院或创伤系统之间能够进行比较。年轻医生可以通过评分系统来检验自己的临床判断，并积累经验。因此，评分系统提高了安全性，有助于决策制定。由于评分系统的准确性永远不可能达到100%，个人决策绝不能仅仅依赖于评分。格拉斯哥昏迷量表、修订创伤评分、损伤严重程度评分和TRISS是国际上最常用于重伤患者的评分。它们的敏感性、特异性、有效性、可靠性和实用性已经在许多试验中得到研究和验证。德国创伤外科学会的创伤登记处正在实际研究这些评分系统在严重创伤治疗质量管理中的作用。
