[Relationship between trauma score and complications and interventions of traumatic patients in department of emergency medicine].
OBJECTIVE
To investigate the relationship between trauma score (TS) and complications and interventional strategies in trauma patients in the Emergency Department.


METHODS
The injury severity was assessed with TS, and complications were recorded in 1 826 trauma patients in Emergency Department. The interventions, monitoring and imaging examinations were initiated promptly.


RESULTS
The TS ranged from 1 to 16 points, and the lower the TS the poorer the patient's condition. The patients with score of 10 or above accounted for 73.06% of patients, those with score of 10 or below accounted for 26.94%. When they left Emergency Department in 91.84% of the patients TS was above 10, while 8.16% of them TS was 10 or below (both P<0.001). The patients with score of 10 or below had a higher rate of severe complications including hypotension, shock, abnormal respiration, and cardiac arrest. The lower the TS, the larger the amount of fluid resuscitation required.


CONCLUSIONS
TS provides an objective value to indicate the seriousness of the patient's condition, and it is valuable to the attending to plan the strategies of intervention, monitoring and necessary instrumental examinations.
Sun
Jun
J
Department of Emergency Medicine, 97th Hospital of PLA, Xuzhou 221004, Jiangsu, China.
Jiang
Xue-cheng
XC
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D004636:Emergency Service, Hospital; D005260:Female; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D008875:Middle Aged; D014947:Wounds and Injuries / Q000150:complications / Q000628:therapy*; D055815:Young Adult