Trauma score versus revised trauma score in TRISS to predict outcome in children with blunt trauma.
We analyzed the accuracy of TRISS and a revised TRISS to predict survival outcome in a group of 1,562 consecutive children less than 15 years old admitted with blunt trauma to a pediatric trauma center. TRISS is an index that computes a probability of survival for each patient based on Trauma Score, Injury Severity Score, and age. R-TRISS uses the Revised Trauma Score instead of the Trauma Score. We used a statistical method based on TRISS and R-TRISS to compare patient outcomes from the pediatric study group with those of an adult baseline control group from the Major Trauma Outcome Study. Both TRISS and R-TRISS have the capability to accurately quantify survival outcome for children with blunt trauma; there was no statistical difference between the two methods to do so.
Trauma Service, Children's Hospital National Medical Center, Washington, DC 20010.
M R
MR
Eichelberger
L M
LM
Bowman
W J
WJ
Sacco
E A
EA
Mangubat
A D
AD
Lowenstein
C S
CS
Gotschall
D000293:Adolescent; D001794:Blood Pressure; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D011379:Prognosis; D012119:Respiration; D012720:Severity of Illness Index; D014949:Wounds, Nonpenetrating / Q000401:mortality*