지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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초록· 키워드
오류제보하기
Objective : Despite several limitations, the Trauma Injury Severity Score (TRISS) is normally used to evaluate trauma systems. The aim of this study was to evaluate the preventable trauma death rate using the TRISS method in severe trauma patients with traumatic brain injury using our emergency department data. Methods : The use of the TRISS formula has been suggested to consider definitively preventable death (DP); the deaths occurred with a probability of survival (Ps) higher than 0.50 and possible preventable death (PP); the deaths occurred with a Ps between 0.50 and 0.25. Deaths in patients with a calculated Ps of less than 0.25 is considered as non-preventable death (NP). A retrospective case review of deaths attributed to mechanical trauma occurring between January 1, 2011 and December 31, 2011 was conducted. Results : A total of 565 consecutive severe trauma patients with ISS>15 or Revised Trauma Score<7 were admitted in our institute. We excluded a total of 24 patients from our analysis : 22 patients younger than 15 years, and 2 patients with burned injury. Of these, 221 patients with head injury were analyzed in the final study. One hundred eighty-two patients were in DP, 13 in PP and 24 in NP. The calculated predicted mortality rates were 11.13%, 59.04%, and 90.09%. The actual mortality rates were 12.64%, 61.547%, and 91.67%, respectively. Conclusion : Although it needs to make some improvements, the present study showed that TRISS performed well in predicting survival of traumatic brain injured patients. Also, TRISS is relatively exact and acceptable compared with actual data, as a simple and time-saving method.
목차
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참고문헌 (19)
참고문헌 신청
Barmparas G / 2012 / Decreased intracranial pressure monitor use at level II trauma cen- ters is associated with increased mortality / Am Surg 78:1166~1171
Cayten CG / 1991 / Limita- tions of the TRISS method for interhospital comparisons : a multihospi- tal study / J Trauma 31:471~481
Champion HR / 1996 / Improved predictions from a severity characterization of trauma (ASCOT) over Trauma and Injury Severity Score (TRISS) : results of an independent evaluation / J Trauma 40:42~48
Champion HR / 1990 / The Major Trauma Outcome Study : establishing national norms for trauma care / J Trauma 30:1356~1365
Chiara O / 2006 / Preventable trauma deaths : from panel review to population based-studies / World J Emerg Surg 1:12
Cayten CG / 1991 / Limita- tions of the TRISS method for interhospital comparisons : a multihospi- tal study / J Trauma 31:471~481
Champion HR / 1996 / Improved predictions from a severity characterization of trauma (ASCOT) over Trauma and Injury Severity Score (TRISS) : results of an independent evaluation / J Trauma 40:42~48
Champion HR / 1990 / The Major Trauma Outcome Study : establishing national norms for trauma care / J Trauma 30:1356~1365
Chiara O / 2006 / Preventable trauma deaths : from panel review to population based-studies / World J Emerg Surg 1:12
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