title: [Trauma severity grading and quality control].
abstract: The effect of trauma may be graded by the extent of anatomical injury caused or functional derangement created. The anatomical scoring is useful in determining the trauma load in a hospital and for comparisons between hospitals. It correlates well with the need for resources. Functional scoring may be used to follow the effect of treatment of the individual patient. A combined evaluation of both anatomical injuries, physiological derangements and patient's age is necessary for individual prognostics and is used in evaluation of trauma care. The most widely used system of anatomical scoring is Injury Severity Score based on the Abbreviated Injury Scale. Trauma Score is a widely disseminated functional scoring system. These two may be combined into the TRISS method for assessing probability of survival. Under conditions of war, patients are divided into groups which either have to be operated, which can wait or which have to wait. War wounds are graded according to the extent of soft tissue damage, involvement of deeper structures and whether the wound contains foreign bodies.
authors.affiliation: Kirurgisk klinikk Ullevål sykehus, Oslo.
authors.forename: K
authors.initials: K
authors.lastname: Solheim
authors.forename: J
authors.initials: J
authors.lastname: Pillgram-Larsen
mesh_terms: D015998:Abbreviated Injury Scale; D004632:Emergency Medical Services / Q000592:standards*; D015600:Glasgow Coma Scale; D006801:Humans; D015601:Injury Severity Score; D011786:Quality Control; D015599:Trauma Severity Indices; D014218:Triage / Q000592:standards; D014857:Warfare
vernacular_title: Skadegradering og kvalitetskontroll.