Evaluation of Trauma Care Applying TRISS Methodology in a Caribbean Developing Country

Subramanian, Hariharan; Chen, Dungtsa; Parker, Kathryn; Figari, Asher; Lessey, Gayatri; Absolom, Denese; James, Sigrid; Fraser, Osei; Letsholathebe, Chawanga Tracey

doi:10.1016/j.jemermed.2007.09.051

Cited by 24 publications

(22 citation statements)

References 30 publications

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“…Z-statistic showed no significant difference among deceased and recovered patients compared to MTOS. According to the results of this study, traffic injury mortality is clearly affected by the quality of hospital services provided, which is in line with similar results reported in various studies (11,(26)(27)(28)(29)(30) Singh et al (30) studied traffic injury patients and reported Z-scores and W-scores of -3.95 and -5.34, respectively. In this study patients died more frequently than in MTOS, which was due to the low quality of provided hospital services.…”

Section: Discussionsupporting

confidence: 91%

Assessment of Survival and Hospital Care Quality in Patients with Traffic Injury in East Azerbaijan

Esmaeili¹,

Sadeghi‐Bazargani²,

Vahdati³

et al. 2016

Trauma Mon

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Background: Traffic events are the second most common cause of mortality and the first cause of years of life lost (YLL) in Iran. Objectives: The aim of this study was to determine the survival of patients with traffic injury and evaluate hospital care quality using the trauma and injury severity score (TRISS) method. Methods: This cross-sectional study was conducted on 1000 patients aged 1 to 89 years old who were hospitalized in two university hospitals in East Azerbaijan, Iran. Patients were selected by using stratified sampling. Data were extracted from medical records and analyzed by STATA11 software. Injury severity score (ISS), revised trauma score (RTS), and expected survival were calculated using the TRISS software package. W-scores and Z-scores were calculated to evaluate the performance of hospitals. Finally, results were compared to those of the major trauma outcome study (MTOS). Results: Among 1000 patients, 246 (24.6%) were female. The mean age was 32.6 years (SD, 18.6). Mean ISS for living patients was 12.4 (SD, 4.3) while it was 36.9 (SD, 8.9) for fatal cases. The average RTS was reported to be 7.1 and 4.35 for alive and fatal cases, respectively (P < 0.001). Based on TRISS, 58 cases were expected to result in death; however, 65 fatalities were observed (65/1000). The W-score was -7 per 1000 and Z-score was + 0.02. The TRISS misclassification rate for survival status of patients with traffic injury was reported as 2.6%. Conclusions: Our findings indicate that the quality of care at the hospitals under study using the TRISS method was lower than the quality of care in the MTOS study. Further, survival of traffic injury patients was clearly influenced by the quality of hospital services provided.

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Section: Discussionsupporting

confidence: 91%

Assessment of Survival and Hospital Care Quality in Patients with Traffic Injury in East Azerbaijan

Esmaeili¹,

Sadeghi‐Bazargani²,

Vahdati³

et al. 2016

Trauma Mon

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“…Another study found that TRISS was not very accurate in predicting the prognosis of trauma patients in developing country setting; however, they maintained that TRISS was the most reliable scoring method. [30] …”

Section: Discussionmentioning

confidence: 99%

Comparison of Revised Trauma Score, Injury Severity Score and Trauma and Injury Severity Score for Mortality Prediction in Elderly Traumatic Patients

Yousefzadeh-Chabok¹,

Hosseinpour²,

Kouchakinejad–Eramsadati³

et al. 2016

Ulus Travma Acil Cerrahi Derg

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“…in their study on 326 trauma patients found a considerable disparity between predicted and observed outcomes when trauma patients were evaluated using TRISS scoring system. [21]…”

Section: Discussionmentioning

confidence: 99%

Evaluation of trauma and prediction of outcome using TRISS method

Singh

Gupta

Garg

et al. 2011

J Emerg Trauma Shock

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Evaluation of Trauma Care Applying TRISS Methodology in a Caribbean Developing Country

Cited by 24 publications

References 30 publications

Assessment of Survival and Hospital Care Quality in Patients with Traffic Injury in East Azerbaijan

Assessment of Survival and Hospital Care Quality in Patients with Traffic Injury in East Azerbaijan

Comparison of Revised Trauma Score, Injury Severity Score and Trauma and Injury Severity Score for Mortality Prediction in Elderly Traumatic Patients

Evaluation of trauma and prediction of outcome using TRISS method

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