Measuring trauma outcomes in India: an analysis based on TRISS methodology in a Mumbai university hospital.
BACKGROUND
In this prospective study, the TRISS methodology is used to compare trauma care at a university hospital (Lokmanya Tilak Municipal General (LTMG) Hospital) in Mumbai, India, with the standards reported in the Major Trauma Outcome Study (MTOS).


METHODS
Between 1 August 2001 and 31 May 2002, 1074 severely injured patients were included in the study. Survival analysis was completed for 98.3% of the patients.


RESULTS
The majority of the patients were men (84%) and the average age was 31 years. 90.4% were blunt injuries, with road traffic crashes (39.2%) being the most common cause. The predicted mortality was 10.89% and the observed mortality was 21.26%. The mean Revised Trauma Score (RTS) was 6.61 +/- 1.65 and the mean Injury Severity Score (ISS) was 16.7 +/- 10.67. The average probability of survival (Ps) was 89.14. The M and Z statistics were 0.84 and -14.1593, respectively.


CONCLUSIONS
The injured in India were found to be older, the injuries more severe and with poorer outcomes, than in the MTOS study.
Murlidhar
V
V
Lokmanya Tilak Municipal General Hospital, Sion, Mumbai 400022, India. murlidharv@vsnl.com
Roy
Nobhojit
N
D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D003906:Developing Countries; D005260:Female; D006801:Humans; D007194:India; D007223:Infant; D007231:Infant, Newborn; D015601:Injury Severity Score; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D016019:Survival Analysis; D014193:Trauma Centers; D015599:Trauma Severity Indices; D016896:Treatment Outcome; D014947:Wounds and Injuries / Q000209:etiology / Q000628:therapy*; D014949:Wounds, Nonpenetrating / Q000209:etiology / Q000628:therapy