Triage scoring systems in pediatric trauma

Year 2005, Volume: 36 Issue: 4, 173 - 176, 01.05.2005

Savaş Demirbilek

Abstract

For more than 30 years various scoring systems have been used as a method to asses the injury severity of multi-system trauma. They have been used as a tool for triage, for emergency-room quality management, for educational reasons or, nowadays, in order to evaluate the cost effectiveness of either a complete hospital or a single department. This review presents an overview of scoring systems used in pediatric and adult trauma. Triage scoring systems, using readily available physical examination, physiologic, and/or mechanism of injur y parameters, are used to determine appropriate prehospital referral patterns. As clinicans and researchers working with trauma patients, it is imperative that we be knowledgeable of the methodologies and applications of these scoring systems to ensure their quality and appropriate utilization.

Keywords

Research Design, Wounds and Injuries, Pediatrics, Child

Pediyatrik travmada hasta yönlendirme skorlamaları

Abstract

Otuz yılı aşkın bir süredir çeşitli skorlama sistemleri multi-sistem travmalarında hasarın ciddiyetini belirleyebilemek amacı ile kullanılmaktadır. "Bu skorlama sistemleri, hasta yönlendirme, acil odasındaki tedavinin kalitesinin arttırılması, eğitimsel nedenler ve günümüzde ise aynı zamanda üst düzey bir hastane ya da daha alt bir merkezde tedavinin planlanmasının ekonomikliği gibi nedenlerle kullanılmaktadır. Bu derlemede pediyatrik ve erişkin travmaların da kullanılan hasta yönlendirme skor sistemleri gözden geçirilmektedir. Hasta yönlendirme skor sistemleri hastane öncesi hastaların refere edilme şekline karar verebilmek için, mevcut fiziksel muayane, fizyolojik ve/veya hasar parametrelerinin kullanılmasına dayanan skorlama sistemleridir. Travma hastalarının bakım ve tedavisi ile uğraşan klinisyen ve araştırmacılar, bu sistemlerin niteliğini anlıyabilmek ve uygun kullanımını sağlıyabilmek için skorlama sistemlerini ve uygulama methodları hakkında bilgili olmalıdır.

Keywords

Araştırma tasarımı, Yaralar ve yaralanmalar, Pediatri, Çocuk

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