Assessment of the use of TRISS scoring system in polytraumatized patients in Suez Canal university hospital, Ismailia, Egypt

Authors

  • Sameh Saad Department of Emergency medicine, Faculty of Medicine, Suez Canal University, Ismailia
  • Ahmed S. Abo-zied Department of Emergency medicine, Faculty of Medicine, Suez Canal University, Ismailia
  • Walaa A. Siam Department of Emergency medicine, Faculty of Medicine, Suez Canal University, Ismailia
  • Yassin El-Ghoul Department of Orthopedic Surgery, Faculty of Medicine, Suez Canal University, Ismailia

DOI:

https://doi.org/10.18203/2349-2902.isj20162740

Keywords:

Emergency department, Severely traumatized patients, TRISS

Abstract

Background:Injuries are a leading cause of the global burden of death and disability for all age groups below age 60. Trauma score systems try to translate the severity of injury into a number. The scores enable physicians to translate different severity of injuries into a common language. Quantitative characterizations of injury are essential for research, and meaningful evaluation of patient outcome, quality improvement, and prevention programs. Aim of the work was to improve the outcome of polytraumatized patients in Suez Canal University Hospital through application of a predictor of outcome scoring system.

Methods: A cross-sectional descriptive study included all Polytraumatized patients attending to the Emergency Department (ED) at the Suez Canal university Hospital during six months from 1/8/2012 to 31/1/2013.

Results:The mortality rates between the studied patients were 11.9% in comparison to 88.1% discharged alive. TRISS showed better sensitivity when compared to RTS & ISS with low false negative rate when compared to both of them.  Comparable performances of the RTS, ISS, and TRISS showed RTS as the poorest index, while TRISS was the best.

Conclusions:TRISS showed high specificity and good sensitivity and the negative values are indicative of higher mortality observed in our study than predicted by TRISS and this may be lake of resources and man power or it may be due to delay of arrival of the patients. TRISS showed better sensitivity when compared to RTS and ISS with low false negative value when compared to both of them.

 

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Published

2016-12-09

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Section

Original Research Articles