A modification of the revised trauma score for better trauma mortality prediction article pdf available in bmc surgery 171 december 2017 with 1,218 reads. Trauma is the fifth leading cause of death in patients 65 years and older. Glasgow coma scale, age, and systolic blood pressure score. It is established that 4 is the threshold for treatment in. Clinical practice a critical appraisal of the revised trauma.
Revised trauma score definition of revised trauma score. There are several available scoring systems usually used in trauma studies, as follows. This medical scoring system is used to assess the vital signs of the patient in the emergency care unit and indicates the intensity of the injury. A minimum score indicates a higher intensity of injury. Jtdb japan trauma data bank, iss injury severity score, rts revised trauma score, sbp systolic blood pressure, gcs glasgow coma scale score, rr respiratory rate jtdb data world j. Validation of the new proposed emergency trauma score emtras. The revised trauma score rts is a physiologic scoring system, designed for use in based.
In start triage, a patient with an rts score of 12 is labeled delayed, 11 is urgent, and 310 is immediate. Glasgow coma scale, age, and systolic blood pressure score the harvard community has made this article openly available. The revised trauma score rts is widely used by emergency services around the world. The revised trauma score rts calculated with major outcome trauma study weights mtosrts is currently the standard physiologic severity score in trauma research and quality control. The study analysed data on 507 trauma patients with multiple injuries and with a hospital trauma indexinjury severity score htiiss of 16 or. The revised trauma score is the sum of the weighted variables see formula in text. Course for physicians, american college of surgeons, 1993. Modified revised traumamarshall score as a proposed tool.
The international trauma questionnaire itq is a brief, simplyworded measure, focusing only on the core features of ptsd and cptsd, and employs straightforward diagnostic rules. Analysis of the revised trauma score rts in 200 victims of different trauma mechanisms injured, especially in the pre hospital environment and initial treatment in the emergency room5,8,9. Trauma and injury severity score triss, revised trauma score rts, and injury severity score iss are scoring systems used to assist in clinical decisionmaking and to aid physicians in initial evaluation of trauma. On this test, scores that exceed 24 can be quite meaningful. Revised trauma score an overview sciencedirect topics. Revised trauma scoring system to predict inhospital mortality in the emergency department.
The revised trauma score rts is a physiologicbased triage score table 302. Correlation between the revised trauma score and injury severity. It is classified as physiological, since it takes into account parameters of the patients vital functions. How to calculate revised trauma score rts tutorial. Pdf triage revised trauma score change between first. Glasgow coma scale, systolic blood pressure, and respiratory rate. Online medical calculator that calculates rts value to predict vital signs of a patient. This study is a comparison of results of revised trauma score rts, injury severity score iss, and trauma and injury severity score triss in prediction of mortality in cases of geriatric trauma. Correlation between the revised trauma score and injury severity score.
Rts was effective in predicting mortality in traumatic brain injury, however failing to predict it in patients suffering from blunt and penetrating trauma. Revised trauma score the revised trauma score rts is a physiological scoring system, with high interrater reliability and demonstrated accuracy in predicting death. Wed like to understand how you use our websites in order to improve them. The revised trauma score is made up of a three categories. The revised trauma score rts is a convenient physiologicbased triage score for onsite triage for trauma triage and initial severity estimation that does not require sophisticated medical tests or devices and is especially useful in prehospital and emergency department ed settings 1. Revised trauma score interpretation the rts scores range between 0 and 7. This is an improvement of trauma score ts, created in 1981, but without the assessment of capillary refill and respiratory effort, difficult variables. The revised version of the impact of event scale iesr has seven additional questions and a scoring range of 0 to 88.
Calculation of the kampala trauma score kts the kts is included in this document as an example of an instrument to use to classify the severity of injuries. A comparison of the trauma score, the revised trauma score, and the pediatric trauma score. Revised trauma score should be done immediately after the accident, and it is usually given before entering hospital or when the patients are in. Revised trauma score is a medical scoring system to predict vital signs of a patient. Glasgow coma scale centers for disease control and. The itq was developed to be consistent with the organizing principles of the icd11, as set forth by the world health organization, which are to maximize clinical utility and ensure international applicability. The rts was derived from two earlier versions of a triage scores, the triage index and the trauma score champion et al. It also inquires about subjective distress in response to these traumas. Triage revised trauma score change between first assessment and. It is scored from the first set of data obtained on the patient, and consists of glasgow coma scale, systolic blood pressure and respiratory rate. This study aimed to obtain the easiest applicable scoring system to multitraumatic patients in prof. Your story matters citation kondo, yutaka, toshikazu abe, kiyotaka kohshi, yasuharu. Analysis of the revised trauma score rts in 200 victims of. Those who have an rts below 3 are declared dead and should not receive certain care because they are highly unlikely to survive.
Modified revised traumamarshall score as a proposed tool in predicting the outcome of moderate and severe traumatic brain injury tjokorda gde bagus mahadewa,1 nyoman golden,1 anne saputra,1 christopher ryalino2 1department of surgery, division of neurosurgery, faculty of medicine, udayana university, denpasar, bali, indonesia. Revised trauma score coded value glasgow coma scale systolic blood pressure respiratory rate 4 15. It is often confused with the triagerts trts, a version that is. How does the trauma injury severity score triss calculator work. History and current status of trauma scoring systems. Scores derived from four existing scoring systems revised trauma score, triage revised trauma score, trauma and injury severity score and. Revised trauma score rts, injury severity score iss, and trauma related injury severity score triss.
Severe head injurygcs score of 8 or less moderate head injurygcs score of 9 to 12 mild head injurygcs score of to 15 adapted from. The revised trauma score rts, derived from the original trauma score described by champion and associates in 1981, combines the gcs with systolic blood pressure sbp and respiratory rate rr, each on a scale from 0 to 4 table 52. Pdf revised trauma scoring system to predict inhospital. This health tool estimates survival rates from blunt or penetrating trauma based on the results from two trauma scoring systems. A comparison of the trauma score, the revised trauma score. Evaluation of the revised trauma and injury severity scores in elderly trauma patients article pdf available in journal of emergencies trauma and shock 52. The rts was derived from two earlier versions of a triage scores, the triage. Revised trauma score glasgow systolic coma scale blood pressure 15 89 9 12 68 45 3 76 89 50 75 1 49 0 respiratory coded rate value 10 29 29 69 15 0 4 3 2 1 0 ranges 012 score aug 08, 2017. The rts has three variablesrespiratory rate, systolic blood pressure, and gcs. Comparison of revised trauma score, injury severity score. Score iesr consequence 24 or more ptsd is a clinical concern.
Ipi aplikasi revised trauma score, injury severity score. Revised trauma scoring system to predict inhospital. Briere, 2004 is a behaviorallyanchored, semistructured interview that allows the clinician to evaluate most major forms of trauma exposure. Iss is an anatomical score and independent predictor of death that is mostly used for patients with multiple injuries. There are several trauma scores, with different levels of complexity for practical implementation. Pdf evaluation of the revised trauma and injury severity.
The glasgow coma scale, systolic blood pressure and respiratory rate see appendix 2. Trauma screening and assessment tools for children and. First section says the score range is 012, second section says values for the rts are in. The revision includes glasgow coma scale gcs, systolic blo.
The triss consists of physiological rts and anatomical scores injury severity score, iss and age, stratified by the injury mechanism blunt or. Pdf background since its introduction, the revised trauma score rts has been widely used to determine the prognosis of trauma. Revised trauma score rts calculator medical calculation. Analysis of the revised trauma score rts in 200 victims. Its superior efficiency is due to both speed and objectivity. A patient obtaining a score below 3 is considered to be highly unlikely to survival regardless of intervention and therefore is declared dead. The revision of the trauma score 4 retained only three domains. Started in 1995, this collection now contains 6769 interlinked topic pages divided into a tree of 31 specialty books and 732 chapters. Based on motor responsiveness, verbal performance, and eye opening to appropriate. The revised trauma score rts is widely used by emergency. The cardiopulmonary factors included are respiratory rate and systolic blood pressure.