Trauma outcome analysis of a Jakarta University Hospital using the TRISS method: validation and limitation in comparison with the major trauma outcome study. Trauma and Injury Severity Score.
J Trauma
; 51(1): 134-40, 2001 Jul.
Article
em En
| MEDLINE
| ID: mdl-11468458
ABSTRACT
BACKGROUND:
In this prospective study, the TRISS methodology is used to compare trauma care at a University Hospital in Jakarta, Indonesia, with the standards reported in the Major Trauma Outcome Study (MTOS).METHODS:
Between February 24, 1999, and July 1, 1999, all consecutive patients with multiple and severe trauma were included in the study (n = 105). Survival analysis was completed for 97 (92%) patients.RESULTS:
The majority of patients were men (81%), and the average age was 28 years. Ninety-five patients (98%) sustained blunt trauma, with motor vehicle crashes being the most common (68%). The predicted mortality was 14% and the observed mortality was 29%. The Z and M statistics were 7.87 and 0.843, respectively.CONCLUSION:
We conclude that in developing countries both institution-bound factors and specific limitations in the TRISS methodology are responsible for the difference between predicted and observed mortality, indicating the need for a regional database.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Contexto em Saúde:
2_ODS3
/
9_ODS3_accidentes_transito
Problema de saúde:
2_accidentes_transito
/
9_resposta_pos_acidente
Assunto principal:
Sistemas Inteligentes
/
Computação Matemática
/
Inteligência Artificial
/
Traumatismo Múltiplo
/
Redes Neurais de Computação
/
Países em Desenvolvimento
Tipo de estudo:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Aspecto:
Determinantes_sociais_saude
Limite:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
País/Região como assunto:
Asia
Idioma:
En
Revista:
J Trauma
Ano de publicação:
2001
Tipo de documento:
Article
País de afiliação:
Holanda