Improved Prediction from Revised Injury Severity Classification (RISC) over Trauma and Injury Severity Score (TRISS) in an Independent Evaluation of Major Trauma Patients

Brilej, Drago; Vlaović, Miodrag; Komadina, Radko

doi:10.1177/147323001003800437

Cited by 7 publications

(3 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Selain itu kesalahan dari perhitungan RTS atau ISS akan membuat nilai TRISS menjadi salah. 11 Dengan keterbatasan ini kami berpendapat bahwa TRISS kurang cocok diterapkan di fase prahospital maupun triage. 12…”

Section: Trissunclassified

Aplikasi revised trauma score, injury severity score, dan trauma and injury severity score dalam memrediksi mortalitas pada pasien multitrauma di IRDB BLU RSUP Prof. Dr. R. D. Kandou Manado

Ranti¹,

Sapan²,

Kalesaran³

2016

JBM

View full text Add to dashboard Cite

Trauma is the main cause of deaths among teenagers and young adults. Most of the cases are due to traffic accidents, therefore, a scoring system that can transforms the trauma quality to numbers is very valuable. This scoring system is needed to predict mortality, compare therapeutic methods, function as a triage tool pre hospitalization and during the way to the hospital, evaluate quality improvement and prevention program, and as a tool in trauma studies. There are several available scoring systems usually used in trauma studies, as follows: Revised Trauma Score (RTS), Injury Severity Score (ISS), and Trauma Related Injury Severity Score (TRISS). This study aimed to obtain the easiest applicable scoring system to multitraumatic patients in Prof. Dr. R. D. Kandou Hospital Manado. This was an observational correlation study. Evaluation of mortality was done by using the scoring systems and then was compared to the results in the field. There were 37 multitraumatic patients consisted of 30 males and 7 females. Five patients died during this study. By using RTS, of score >7 there was 1 death; of score 6-7 there were 3 deaths; and of score-5 there was 1 death. By using ISS, all dead patients had score ≥25, meanwhile by using TRISS, 2 dead patients had score 81-100,1 dead patient had score 61-80, and 2 dead patients had score 41-60. Conclusion: RTS is the easiest applicable scoring system at triage and pre-hospitalization, and is recommended to be a part of management of multitraumatic patients. Along with ISS, RTS can be used as a mortality predictor among multitraumatic patients.Keywords: trauma, RTS, ISS, TRISS, mortalityAbstrak: Trauma merupakan penyebab kematian utama pada usia remaja dan dewasa muda. Sistim penilaian (skoring) yang dapat mengubah kualitas trauma ke dalam bentuk nilai diperlukan agar dapat meramalkan mortalitas, membandingkan metode terapi, merupakan alat triase pre- dan antar rumah sakit, menilai perbaikan kualitas dan program pencegahan, serta merupakan alat dalam studi trauma. Beberapa sistem skoring yang sering digunakan dalam penelitian ialah Revised Trauma Score (RTS), Injury Severity Score (ISS), dan Trauma Related Injury Severity Score (TRISS). Penelitian ini bertujuan untuk mendapatkan pilihan sistim skoring yang paling mudah diaplikasikan pada pasien multitrauma di BLU RSUP Prof. Dr. R. D. Kandou, Manado. Jenis penelitian ialah observasional korelatif. Penilaian ini mengaplikasikan masing-masing skor terhadap angka mortalitas dan dibandingkan dengan hasil yang diperoleh di lapangan. Dalam penelitian ini terdapat 37 pasien multitrauma, terdiri dari 30 laki-laki dan 7 perempuan. Jumlah pasien yang meninggal selama penelitian ialah 5 orang. Untuk RTS, dari pasien dengan skor >7 terdapat 1 kematian; dari pasien dengan skor 6-7 terdapat 3 kematian, dan dari pasien dengan skor 5 terdapat 1 kematian. Untuk ISS, semua pasien yang meninggal memiliki skor ≥25, sedangkan untuk TRISS, 2 pasien yang meninggal dengan skor 81-100, 1 pasien dengan skore 61-80, dan 2 pasien yang meninggal dengan skor 41-60. Simpulan: RTS paling mudah diaplikasikan saat triase dan fase pre rumah sakit, serta direkomendasikan untuk menjadi bagian dari pedoman penanganan kasus multitrauma. Bersama-sama dengan ISS, RTS dapat diaplikasikan sebagai prediktor mortalitas pasien multitrauma.Kata kunci: trauma, RTS, ISS, TRISS, mortalitas

show abstract

Section: Trissunclassified

Aplikasi revised trauma score, injury severity score, dan trauma and injury severity score dalam memrediksi mortalitas pada pasien multitrauma di IRDB BLU RSUP Prof. Dr. R. D. Kandou Manado

Ranti¹,

Sapan²,

Kalesaran³

2016

JBM

View full text Add to dashboard Cite

show abstract

“…The Trauma Score and Injury Severity Score (TRISS) from 1987 is the most common [5][6][7]. The Revised Injury Severity Classification (RISC) score, introduced in 2009 and based on data from the German Trauma Registry, has, when compared to TRISS, demonstrated an improved predictive performance, however [8,9].…”

Section: Introductionmentioning

confidence: 99%

Unconscious trauma patients: outcome differences between southern Finland and Germany—lesson learned from trauma-registry comparisons

Brinck

Raj

Skrifvars

et al. 2015

Eur J Trauma Emerg Surg

View full text Add to dashboard Cite

show abstract

“…Reporting of these statistics is important because the M statistic for non-US populations may be below the cutoff for non-standardized TRISS analyses, thereby rendering comparisons invalid [12]. The RISC, while a more contemporary and potentially more accurate system for comparing outcomes [13], did not reveal a statistically significant survival benefit for HEMS compared to GEMS.…”

mentioning

confidence: 99%

Comparative effectiveness of helicopter emergency medical services compared to ground emergency medical services

Galvagno

2013

Crit Care

View full text Add to dashboard Cite

The use of helicopter emergency medical services (HEMS) for the transportation and treatment of trauma patients, while commonplace in most developed nations, remains controversial. The purported beneficial effects of HEMS compared to ground emergency medical services is likely to be some combination of speed, crew expertise, and the fact that HEMS is part of an organized trauma system. When the HEMS literature is assessed as a whole, considerable heterogeneity of effects and study methodologies preclude an accurate estimate of composite effect. However, when the outcome of mortality is studied using advanced multivariable regression techniques to control for multiple known confounders, an improved odds of survival has been repeatedly demonstrated. Future HEMS research must rely on robust observational study designs and assessments of a variety of patient outcomes. Questions about the role of speed, distance, and other potentially beneficial elements of HEMS remain.

show abstract

Improved Prediction from Revised Injury Severity Classification (RISC) over Trauma and Injury Severity Score (TRISS) in an Independent Evaluation of Major Trauma Patients

Cited by 7 publications

References 17 publications

Aplikasi revised trauma score, injury severity score, dan trauma and injury severity score dalam memrediksi mortalitas pada pasien multitrauma di IRDB BLU RSUP Prof. Dr. R. D. Kandou Manado

Aplikasi revised trauma score, injury severity score, dan trauma and injury severity score dalam memrediksi mortalitas pada pasien multitrauma di IRDB BLU RSUP Prof. Dr. R. D. Kandou Manado

Unconscious trauma patients: outcome differences between southern Finland and Germany—lesson learned from trauma-registry comparisons

Comparative effectiveness of helicopter emergency medical services compared to ground emergency medical services

Contact Info

Product

Resources

About