title: Trauma severities scores and their prediction of outcome among trauma patients in two hospitals of Addis Ababa, Ethiopia.
abstract: BACKGROUND
  Trauma is the leading cause of morbidity and mortality all over the world. Developing countries including Ethiopia have been greatly affected with trauma.
  
  
  OBJECTIVE
  To measure the seventies of trauma and their prediction of outcome for trauma patients.
  
  
  METHODS
  Retrospective patient care record review was made from March to June 2010 on 328 trauma patients in emergency medical services of Tikur Anbessa and Yekatit 12 hospitals. Data were collected by trained nurses using check list. Trauma and Injury Severity Scoring (TRISS) method was used to measure trauma severities and prediction of their outcome.
  
  
  RESULTS
  Among 328 trauma patients. 72.9% were males. The traumas account for 161 (419.1%), were road traffic injury, followed by 59 (18. 0%) strike by blunt object. With regarding to pattern of injury: from 298 (90.9%) blunt trauma; 141 (12.9%) were head injury, followed by 138 (42.1%) pelvic injury while from 30 (9.1%) penetrating trauma: 11 (3.4%) were pelvic injury, followed by 6 (1.8%) head injury. The median of TRISS measure was 0.97 with the range of 0.014 to 0.99. Sixty (18.3%) of them died during treatment. For the outcome scoring the area under the curve at Receiver Optimization Curve (ROC) analysis was 0.97 for TRISS (P < 0.0001). The W-statistic was -4 at Z-score -3.81 while M-statistics was 0.893.
  
  
  CONCLUSIONS
  The finding reveals high trauma mortality than predicted in severely injured patient. The major itrauma outcome of this study is worse than the norm in developed countries. Therefore, establishing a database to quantify severe trauma and predict its outcome for standard severe injury care seems important.
authors: Department of Nursing, College of Heath Science, Addis Ababa University.
authors: Zuriyash
authors: Z
authors: Mengistu
authors: Aklilu
authors: A
authors: Azaj
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D005002:Ethiopia / Q000453:epidemiology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care / Q000706:statistics & numerical data*; D011237:Predictive Value of Tests; D012372:ROC Curve; D015203:Reproducibility of Results; D012189:Retrospective Studies; D016019:Survival Analysis; D015599:Trauma Severity Indices; D014947:Wounds and Injuries / Q000145:classification / Q000401:mortality*; D055815:Young Adult