Travma Skorlama Sistemleri ve Kullanımları
Özet
Travmaya bağlı kritik yaralanmaları olan hastaların yönetimi zor olsa da tüm travma sürecini daha kaliteli yönetmek amacıyla travma skorlama sistemleri geliştirilmiştir. Bu skorların hizmet ettiği temel durum; hastane öncesi dönemde uygun triyajın yapılması, kaynakları daha yararlı ve etkili kullanma ihtiyacını karşılamaktır. Ayrıca; sağlık hizmetlerinde kalitenin artırılması, bilimsel çalışmalarda verilerin standardize edilebilmesi, istatistiksel sonuçların elde edilmesi, kaynakların daha etkin kullanılabilmesi ve travma hastasına yaklaşımda cerrahlar arası ortak bir dil oluşmasında da büyük önem taşımaktadır. Geliştirilen birçok skorlama sistemleri (fizyolojik, anatomik, kombine edilmiş) üç ana başlık altında toplanmaktadır.
Referanslar
David JS, Bouzat P, Raux M. Evolution and organisation of trauma systems. Anaesth Crit Care Pain Med. 2019 Apr;38(2):161-167. doi: 10.1016/j.accpm.2018.01.006. Epub 2018 Feb 21. PMID: 29476943.
Trauma scores and scoring systems, Chapter 5, International Association for Trauma Surgery and Intensive Care
Kilgo PD, Meredith JW, Osler TM. Injury Severity Scoring and Outcomes Research. Trauma, 6th Edition, 2008, edts: Feliciano DV. Mattox KL. Moore EE. McGraw-Hill
Champion HR, Sacco WJ, Carnazzo AJ, Copes W, Fouty WJ. Trauma score. Crit Care Med. 1981 Sep;9(9):672-6. doi: 10.1097/00003246-198109000-00015. PMID: 7273818.
Tornetta P 3rd, Mostafavi H, Riina J, Turen C, Reimer B, Levine R, Behrens F, Geller J, Ritter C, Homel P. Morbidity and mortality in elderly trauma patients. J Trauma. 1999 Apr;46(4):702-6. doi: 10.1097/00005373-199904000-00024. PMID: 10217237.
Healey C, Osler TM, Rogers FB, et al. Improving the Glasgow Coma Scale score: motor score alone is a better predictor. J Trauma. 2003; 54(4):671–678; discussion 678–680
Kaufmann CR, Maier RV, Rivara FP, Carrico CJ. Evaluation of the Pediatric Trauma Score. JAMA. 1990 Jan 5;263(1):69-72. PMID: 2293691.
Ruan HL, Ge WH, Chen JP, Zhu YQ, Huang W. Prehospital Index provides prognosis for hospitalized patients with acute trauma. Patient Prefer Adherence. 2018 Apr 13;12:561-565. doi: 10.2147/PPA.S154670. PMID: 29713146; PMCID: PMC5907788.
Maslanka AM. Scoring systems and triage from the field. Emerg Med Clin North Am. 1993 Feb;11(1):15-27. PMID: 8432247.
Gormican SP. CRAMS scale: field triage of trauma victims. Ann Emerg Med. 1982 Mar;11(3):132-5. doi: 10.1016/s0196-0644(82)80237-0. PMID: 7065486.
Garthe E, States JD, Mango NK. Abbreviated injury scale unification: the case for a unified injury system for global use. J Trauma. 1999 Aug;47(2):309-23. doi: 10.1097/00005373-199908000-00016. PMID: 10452467.
Harviel JD, Landsman I, Greenberg A, Copes WS, Flanagan ME, Champion HR. The effect of autopsy on injury severity and survival probability calculations. J Trauma. 1989 Jun;29(6):766-72; discussion 772-3. doi: 10.1097/00005373-198906000-00012. PMID: 2738974.
Copes WS, Lawnick M, Champion HR, Sacco WJ. A comparison of Abbreviated Injury Scale 1980 and 1985 versions. J Trauma. 1988 Jan;28(1):78-86. doi: 10.1097/00005373-198801000-00011. PMID: 3339666.
Civil ID, Schwab CW. The Abbreviated Injury Scale, 1985 revision: a condensed chart for clinical use. J Trauma. 1988 Jan;28(1):87-90. doi: 10.1097/00005373-198801000-00012. PMID: 3339667.
Copes WS, Champion HR, Sacco WJ, Lawnick MM, Gann DS, Gennarelli T, MacKenzie E, Schwaitzberg S. Progress in characterizing anatomic injury. J Trauma. 1990 Oct;30(10):1200-7. doi: 10.1097/00005373-199010000-00003. PMID: 2213928.
Sousa AN, Paiva JA, Fonseca SA, Raposo FJ, Loureiro AM, Valente LF, Gonçalves AM, Cabral AT, Almeida L. Trauma scores na avaliação de politraumatizados: quais e para quê? [Trauma scores in the management of politrauma patients: which one and what for]. Acta Med Port. 2011 Nov-Dec;24(6):943-50. Portuguese. Epub 2012 Feb 20. PMID: 22713189.
Champion HR, Copes WS, Sacco WJ, Lawnick MM, Keast SL, Bain LW, et al. The major trauma outcome study: establishing national norms for trauma care. J Trauma. 1990;30(11):1356-65.
Association for the Advancement of Automotive Medicine (AAAM). The Abbreviated Injury Scale (AIS): 1990 revision, update 1998. Illinois: Des Plaines; 1998.
Boyd CR, Tolson MA, Copes WS. Evaluating trauma care: the TRISS method. Trauma Score and the Injury Severity Score. J Trauma. 1987;27(4):370-8.
Champion HR, Sacco WJ, Copes WS, Gann DS, Gennarelli TA, Flanagan ME. A revision of the trauma score. J Trauma. 1989;29(5):623-9.
Baker SP, O’Neill B, Haddon W Jr, Long WB. The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. J Trauma. 1974;14(3):187-96.
