Measuring trauma outcomes in India: An analysis based on TRISS methodology in a Mumbai university hospital

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• 作者：Murlidhar ; V. ; Roy ; Nobhojit
• 关键词：Injury Severity Score ; Revised Trauma Score ; Abbreviated Injury Score ; Developing countries ; Trauma ; Outcome ; Probability of survival ; Major Trauma Outcome Study ; Survival Analysis ; India
• 刊名：Injury
• 出版年：2004
• 出版时间：April, 2004
• 年：2004
• 卷：35
• 期：4
• 页码：386-390
• 全文大小：123 K

文摘

Background: In this prospective study, the TRISS methodology is used to compare trauma care at a university hospital (Lokmanya Tilak Municipal General (LTMG) Hospital) in Mumbai, India, with the standards reported in the Major Trauma Outcome Study (MTOS). Methods: Between 1 August 2001 and 31 May 2002, 1074 severely injured patients were included in the study. Survival analysis was completed for 98.3 % of the patients. Results: The majority of the patients were men (84 % ) and the average age was 31 years. 90.4 % were blunt injuries, with road traffic crashes (39.2 % ) being the most common cause. The predicted mortality was 10.89 % and the observed mortality was 21.26 % . The mean Revised Trauma Score (RTS) was 6.61±1.65 and the mean Injury Severity Score (ISS) was 16.7±10.67. The average probability of survival (P_s) was 89.14. The M and Z statistics were 0.84 and −14.1593, respectively. Conclusion: The injured in India were found to be older, the injuries more severe and with poorer outcomes, than in the MTOS study.