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Controlled Cortical Impact Model for Traumatic Brain Injury
Published on: August 5, 2014
Trauma outcome analysis of a Jakarta University Hospital using the TRISS method: validation and limitation in
P Joosse1, S Soedarmo, J S Luitse
1Department of Traumatology, Academic Medical Centre, University of Amsterdam, the Netherlands. pieterjoosse@hotmail.com
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.
