TRAUMA SCORE SYSTEMS - COLOGNE VALIDATION-STUDY

Background: Most standard trauma score systems hare beers developed an d validated in the United States, However, trauma differs between the United States and Germany. This prospective study tested the validity of eight current trauma scoring systems (Glasgow Coma Scale, Trauma Sc ore, Revised Trauma Score, Injury Severity Score, TRISSTS, TRISSRTS, P rehospital Index, Polytraumaschluessel) in 612 patients in Cologne, Me thods: Between January 1, 1987, and December 31, 1987, 2,136 trauma re lated emergencies were seen by emergency physicians ire the field, All trauma patients with a Trauma Scare below 16 and a random sample of 1 0% of patients with a Trauma Score of 16 were included in the study (n = 625). Follow-up was successfully completed for 612 patients (97%), Their hospital outcome was correlated with their individual score resu lt, Results: All trauma score systems under study showed high accuracy rates, TRISSRTS and TRISSTS performed best with values of above 0.97 for the area under the receiver operating characteristics curve, Concl usion: We conclude that the standard trauma score systems are valid to ols for patient classification and support TRISSRTS as the internation al reference score system for the assessment of injury severity. This validation will allow comparisons between different trauma care system s.