[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.

Conclusion: 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.