Trauma scoring in a developing country.
OBJECTIVE
The aim of the study was to evaluate the efficacy of trauma scoring systems in a developing country.


METHODS
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).


CONCLUSIONS
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.
Talwar
S
S
Department of General Surgery, JLN Medical College and Hospital, Ajmer, Rajasthan, India.
Jain
S
S
Porwal
R
R
Laddha
B L
BL
Prasad
P
P
D003906:Developing Countries; D006801:Humans; D007194:India; D011237:Predictive Value of Tests; D011379:Prognosis; D012680:Sensitivity and Specificity; D013534:Survival; D015599:Trauma Severity Indices; D014218:Triage