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[Standardized evaluation of trauma patients: requirements for diagnostic imaging]
K G Kanz1, U Linsenmaier, K J Pfeifer
1Chirurgische Klinik und Poliklinik, Klinikum Innenstadt, Universität München, Nussbaumstrasse 20, 80336 München. kanz@ch-i.med.uni-muenchen.de
Introduction:
Evaluation of trauma systems requires a complete and exact injury classification. The purpose of this study was the introduction of the Abbreviated injury scale (AIS) for radiological trauma scoring. The development of these easy to use coding tools is essential for prompt quality management of trauma.
Material And Methods:
Standardized radiological injury description using a modified Abbreviated injury scale in combination with a Microsoft Excel spreadsheet allows an immediate calculation of the probability of survival according to TRISS methodology.
Results:
Computed tomography is the main instrument for injury scoring in trauma care. Postmortem scanning provides a direct feedback for trauma teams especially in case when autopsy is not possible.
Conclusion:
Computed tomography enables in combination with a standardized injury description exact trauma scoring. Quality management of trauma care depends on a valid and reliable calculation of the probability of survival using TRISS.