使用TRISS方法对雅加达大学医院创伤结果进行分析：与重大创伤结果研究相比的验证与局限性。创伤与损伤严重程度评分
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.
作者信息
Joosse P, Soedarmo S, Luitse J S, Ponsen K J
机构信息
Department of Traumatology, Academic Medical Centre, University of Amsterdam, the Netherlands.
出版信息
J Trauma. 2001 Jul;51(1):134-40. doi: 10.1097/00005373-200107000-00021.
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.
背景
在这项前瞻性研究中，采用创伤和损伤严重度评分（TRISS）方法，将印度尼西亚雅加达一家大学医院的创伤治疗情况与重大创伤结局研究（MTOS）报告的标准进行比较。
方法
1999年2月24日至1999年7月1日期间，所有连续收治的多发和严重创伤患者纳入本研究（n = 105）。对97例（92%）患者进行了生存分析。
结果
大多数患者为男性（81%），平均年龄为28岁。95例患者（98%）为钝性创伤，其中机动车碰撞最为常见（68%）。预测死亡率为14%，观察到的死亡率为29%。Z统计量和M统计量分别为7.87和0.843。
结论
我们得出结论，在发展中国家，机构相关因素和TRISS方法中的特定局限性是预测死亡率和观察到的死亡率之间存在差异的原因，这表明需要建立一个区域数据库。
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