Citation

Joosse P, Soedarmo S, Luitse JSK, Ponsen KJ. J. Trauma 2001; 51(1): 134-140.

Affiliation

Department of Traumatology, Academic Medical Centre, University of Amsterdam, the Netherlands. pieterjoosse@hotmail.com

Copyright

(Copyright © 2001, Lippincott Williams and Wilkins)

DOI

unavailable

PMID

11468458

Abstract

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.