Using Trauma and Injury Severity Score (TRISS)-Based Analysis in the Development of Regional Risk Adjustment Tools to Trend Quality in a Voluntary Trauma System: The Experience of the Trauma Foundation of Northeast Ohio

Mancuso, Charlene; Barnoski, Anita; Tinnell, Charles; Fallon, William F.

doi:10.1097/00005373-200004000-00008

Cited by 14 publications

(18 citation statements)

References 5 publications

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“…Most studies were conducted and published in the United States (14,21,23,25,(27)(28)(29)(31)(32)(34)(35)(36)(37)(38)(39)(42)(43)(44)(45) ; so English was the most frequent language of the publications (14)(15)(16) .…”

Section: Resultsmentioning

confidence: 99%

“…Table 1 shows predominance of retrospective (87.5%) (14)(15)(16)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(35)(36)(37)(38)(39)(40)(41)(42)(43)(44)(45) national multi-center studies (62,5%) (18)(19)(20)(22)(23)(25)(26)(27)(28)(29)(30)(31)(32)(33)35,38,(41)(42)(44)(45) , using databases as sources (81.3%) (19)(20)(21)…”

Section: Resultsmentioning

confidence: 99%

“…No study addressed penetrating trauma only. The most common population was of adult patients (n=18; 56.3%) (14)(15)(16)(17)(18)20,22,(24)(25)(29)(30)32,(35)(36)(38)(39)(42)(43) , followed by mixed adult and pediatric patients (n=6; 18.8%) (23,(26)(27)(28)31,37) . The sample size of studies ranged from 34 to 2,350,596 individuals; the most frequent samples had over 10,000 patients (40.6%) (22-23, 27-29, 32, 39-45) .…”

Section: Resultsmentioning

confidence: 99%

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Desempenho dos ajustes do Trauma and Injury Severity Score (TRISS): revisão integrativa

Domingues¹,

Nogueira

Settervall

et al. 2015

Rev. esc. enferm. USP

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RESUMO Objetivo identificar estudos que realizaram ajustes na equação do Trauma and InjurySeverity Score (TRISS) e compararam a capacidade discriminatória da equação modificada com a original. Método Revisão integrativa de pesquisas publicadas entre 1990 e 2014 nas bases de dados LILACS, MEDLINE, PubMed e SciELO utilizando-se a palavra TRISS. Resultados foram incluídos 32 estudos na revisão. Dos 67 ajustes de equações do TRISS identificados, 35 (52,2%) resultaram em melhora na acurácia do índice para predizer a probabilidade de sobrevida de vítimas de trauma. Ajustes dos coeficientes do TRISS à população de estudo foram frequentes, mas nem sempre melhoraram a capacidade preditiva dos modelos analisados. A substituição de variáveis fisiológicas do Revised Trauma Score (RTS) e modificações do Injury Severity Score (ISS) na equação original tiveram desempenho variado. A mudança na forma de inclusão da idade na equação, assim como a inserção do gênero, comorbidades e mecanismo do trauma apresentaram tendência de melhora do desempenho do TRISS. Conclusão Diferentes propostas de ajustes no TRISS foram identificadas nesta revisão e indicaram, principalmente, fragilidades do RTS no modelo original e necessidade de alteração da forma de inclusão da idade na equação para melhora da capacidade preditiva do índice.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Desempenho dos ajustes do Trauma and Injury Severity Score (TRISS): revisão integrativa

Domingues¹,

Nogueira

Settervall

et al. 2015

Rev. esc. enferm. USP

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“…(24,(68)(69)(70)(71)(72) . A maioria desses estudos foi desenvolvida e publicada nos EUA (11,37,39,41,43,(57)(58)(60)(61)(63)(64)(65)(66)(67)(68)(71)(72)(73)(74) , sendo, dessa forma, o inglês o idioma mais frequente de publicação (11,19,24,33,(35)(36)(37)(38)(39)(40)(41)(42)(43)(57)(58)(59)(60)(61)(62)(63)(64)(65)(66)(67)(68)(69)…”

Section: Lista De Ilustraçõesunclassified

“…O destaque apresentado pelos EUA deve-se, em grande parte, ao sistema de trauma consolidado neste país e ao interesse de organizações e associações relacionadas em verificar os resultados e melhorar a assistência prestada aos doentes traumatizados. A maioria dos estudos incluiu doentes vítimas de trauma contuso e penetrante (56,3%) (19,24,(34)(35)(36)39,(42)(43)57,60,63,(65)(66)(67)(71)(72)(73)(74) , seguido por trauma apenas contuso (40,6%) (11,37-38,40-41,58-59, 61-62,64,68-70) . Nenhum estudo abordou apenas o trauma penetrante.…”

Section: Lista De Ilustraçõesunclassified

Trauma and injury severity score: análise de novos ajustes no índice

Domingues¹

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Trauma Score Systems for Quality Assessment

Lefering

2002

Eur J Trauma

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For more than 30 years, several attempts to quantify severity of injuries on a numerical scale have been developed and applied. These score systems play an important role in research but also in comparative analyses in quality assessment. Besides the Injury Severity Score which is by far the most frequently applied score, several more sophisticated approaches have been developed to better describe injury severity and to improve outcome prediction. Besides a description of the most important scores, quality measures for scoring systems such as accuracy, ROC (receiver operating characteristics) analysis, and goodness of fit are presented.The main areas for application in quality assessment are, improvement of triage decisions, the identification of patients with unexpected outcomes, the generation and validation of audit filter, and, most importantly, the use as an objective basis for external and internal outcome comparisons. A score-based prognosis for a group of patients can be regarded as an external standard or norm to which the own results can be compared.But although score systems are an excellent tool for objective risk adjustments, results can still be influenced by different types of bias which have to be regarded. The main sources of bias are the application to different types of patients, or the selective use in only a specific subgroup of patients. The choice of a simple-to-assess score with high reliability and low interrater variability is a further prerequisite for receiving valid results.Critical evaluation of outcome is a central point in quality assessment, and the careful application of score systems provides an accepted basis for risk adjustment.Scores are not the key elements of quality improvement efforts, but without them, many approaches simply become impossible.

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Using Trauma and Injury Severity Score (TRISS)-Based Analysis in the Development of Regional Risk Adjustment Tools to Trend Quality in a Voluntary Trauma System: The Experience of the Trauma Foundation of Northeast Ohio

Cited by 14 publications

References 5 publications

Desempenho dos ajustes do Trauma and Injury Severity Score (TRISS): revisão integrativa

Desempenho dos ajustes do Trauma and Injury Severity Score (TRISS): revisão integrativa

Trauma and injury severity score: análise de novos ajustes no índice

Trauma Score Systems for Quality Assessment

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