An Evaluation of Patient Outcomes Comparing Trauma Team Activated Versus Trauma Team not Activated Using TRISS Analysis

Abstract

In a Level I trauma center, the outcomes of trauma patients with an ISS > 12 are statistically significantly better if the trauma team is activated than if the patients are managed on an individual service-by-service basis.

Air versus ground transport of major Trauma patients to tertiary Trauma centre: A province-wide comparison using TRISS analysis

“…In previous studies, it has been suggested that a high percentage of falls in an older cohort may bias the results, because this patient population likely has more comorbid illness, resulting in a worse than predicted outcome. 6 TRISS analyses are unable to control for this. When we excluded falls from the analyses, the AMT group still had significantly better survival than predicted.…”

“…From this, we are provided with a Z statistic and a W score. 6 The Z statistic compares the sample population mortality to that of an established database of trauma outcomes. A Z statistic < -1.96 indicates that the sample population did worse than predicted.…”

Trauma Care in Oman: Where do we stand and where should we be heading?

“…20,21 A team approach results in more rapid resuscitation and stabilisation of the patient and reduces the time between injury and critical interventions. The leader of the trauma team is often a qualified surgeon or emergency physician who coordinates the resuscitation efforts and ensures adherence to ATLS guidelines.…”

Impossible primary referral to the major trauma center of an integrated trauma system: a case of exsanguinating trauma treated in a Spoke hospital

“…Comprehensive trauma networks, based on identification of Major Trauma Centers (MTCs) and secondary acute care hospital into a hub and spoke model, together with integrated prehospital care systems, are associated with improved outcomes [1,2]. Helicopter Emergency Medical System (HEMS) is internationally involved in trauma regional organization, with specific training of HEMS crews, according to the constitution of MTCs in-hospital Trauma Teams [3][4][5]. Trauma System in Emilia-Romagna region (Italy) is based on 3 Integrated Trauma Systems called SIAT with MTC each.…”