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[Quality assurance in trauma surgery--what does the TRISS method offer ?]
U Schmidt1, M Nerlich, H Tscherne
1Unfallchirurgische Klinik, Medizinischen Hochschule Hannover.
Der Unfallchirurg
|June 1, 1993
Summary
The Trauma and Injury Severity Score (TRISS) method provides a reliable way to assess trauma care outcomes. It calculates survival probability using patient data, aiding in quality assurance and international comparisons.
Area of Science:
- Trauma Care Research
- Medical Outcome Prediction
- Public Health Surveillance
Context:
- The TRISS method is a standard for evaluating trauma care outcomes.
- It utilizes a large dataset of over 150,000 patients.
- TRISS is based on anatomical, physiological data, and patient age.
Purpose:
- To provide a method for calculating individual survival probability for trauma patients.
- To serve as a tool for screening trauma patients for unexpected survival or death.
- To enable quality assurance in prehospital and hospital trauma care.
Summary:
- The TRISS method calculates survival probability using the Revised Trauma Score and Injury Severity Score.
- Recent analyses show high specificity (99.2%) and moderate sensitivity (60.9%) for blunt trauma.
- TRISS leverages the largest trauma patient database for its calculations.
Impact:
- Facilitates quality assurance in trauma patient care.
- Enables comparison of trauma care with international standards.
- Offers a valid approach for identifying patients with unexpected outcomes.