Trauma is one of the most common causes of death. Recently, injury severity score (ISS) is widely used to evaluate and classify the patients with multiple injury. Trauma score (TS) was developed as a means of providing rapid accurate assessment
of
the
injured patient. Authors conducted a review of trauma patients who visited the emergency department of YongDong Severance Hospital from September 1992 to August 1993. ISS and TS were collected from comprehensive initial evaluation.
@ES The results were as follows :
@EN 1. The subjects were 10.2% (2.666 patients) of total 26,202 emergency patients.
2. Male to female ratio was 2.1 : 1. The age distribution was highest under 10 6ear 924.9%). The mean ISS was 3.5, and the mean ISS increased with age.
3. Analysis of injury mechanism showed high incidence of traffic accident (35.3%), blunt trauma 25.7%, fall 24.2%, stabbing 10.7%, and others 4.3% in order.
4. The 8.0% of patients were admitted after initial management and their mean ISS was 12.6, mean TS was 15.5.
5. Among admitted traffic accident patients, the mean ISS of passenger T. A., pedestrian T. A. and driver T.A. were 19.0±9.9, 14.4±10.6 and 11.3±7.7 respectively.
6. Among 42 mortality cases, 25 patients were D. O> A. and 17 were expired. The mean ISS of D. O. A. patients was 30.0 ; the mean ISS and mean TS of expired patients were 28.3 and 11.8 respectively.
7. The most common cause of death was lead trauma (66.7%).
8. By comparing the ISS and TS of admitted and expired patients, mortality occured above 16 point of Iss. The mortality increased with increasing Iss, but it was influenced by the trauma site and the severity of the particular injury site.
mortality also occurd below 15 point of TS, the mortality increased inversely with TS, and the mortality was high below 13 point (above 40%).
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