Document Detail


Correlation of revised trauma score and injury severity score (TRISS) predicted probability of survival with peer-reviewed determination of trauma deaths.
MedLine Citation:
PMID:  12678484     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Trauma deaths at our institution are evaluated by a multidisciplinary trauma committee. The purpose of this study was to evaluate preventable trauma deaths (PRDs) as determined by our review committee and correlate them with the Revised Trauma Score and Injury Severity Score (TRISS) probability of survival (PS). A total of 10,002 patients were identified. The PS was calculated using the TRISS method. The Z scores were calculated and the predicted number of deaths was established. The actual number of deaths was compared with the predicted number of deaths. PRDs were compared with the actual and predicted deaths. The Z score was 0.79, which meant we observed more deaths than predicted by TRISS. We had 281 deaths compared with 271 deaths predicted by TRISS. Peer review characterized 45 deaths as preventable. Although we performed well when our outcomes were compared with TRISS predicted outcomes our PRD rate was higher. The higher the PS the more likely the death was found preventable by peer review. We conclude that for our patient population the peer review process is very sensitive and may be more discerning in identifying PRD than TRISS.
Authors:
Christina M Shanti; James G Tyburski; Kathryn B Rishell; Robert F Wilson; Yvonne Lozen; Cathy Seibert; Christopher Steffes; Arthur M Carlin
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The American surgeon     Volume:  69     ISSN:  0003-1348     ISO Abbreviation:  Am Surg     Publication Date:  2003 Mar 
Date Detail:
Created Date:  2003-04-07     Completed Date:  2003-04-25     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0370522     Medline TA:  Am Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  257-60; discussion 260     Citation Subset:  IM    
Affiliation:
Department of Surgery, Detroit Receiving Hospital, 6C-University Health Center, Detroit, Michigan 48201, USA.
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MeSH Terms
Descriptor/Qualifier:
Hospital Mortality*
Humans
Injury Severity Score
Medical Audit*
Peer Review, Health Care*
Probability
Professional Staff Committees
Trauma Severity Indices*
Wounds and Injuries / mortality*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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