Author(s): Talwar S, Jain S, Porwal R, Laddha BL, Prasad P
Abstract Share this page
Abstract AIM OF STUDY: The aim of the study was to evaluate the efficacy of trauma scoring systems in a developing country. METHOD: Trauma Score (TS) and Trauma and Injury Severity Score (TRISS) were used to predict the survival of 462 trauma patients during the period January 1996 to July 1996. RESULTS: TS had a sensitivity of 53.9\% and a specificity of 98.8\% whereas TRISS had a sensitivity of 46\% and a specificity of 98.7\%. Significant differences in mortality were observed compared with the baseline Major Trauma Outcome Study (MTOS) norms (Z = 4.17, p < 0.001). CONCLUSION: Present injury severity instruments using MTOS coefficients do not accurately predict survival of trauma patients in a developing country, thus highlighting the need for developing new coefficients for trauma scoring in these countries.
This article was published in Singapore Med J
and referenced in Emergency Medicine: Open Access