Professional paper

Evaluation of surgical care for polytraumatized patients suffering from major abdominal trauma using pati and triss methods

Željko Martinović

Abstract

Introduction: This study presents the quality of trauma care evaluated by TRISS and PATI methods in relation to the standards of outcomes in MTOS (The Major Trauma Outcome Study).
Patients and Methods: Descriptive- retrospective analysis includes polytraumatized patients with a major abdomen injury who were hospitalized in the emergency room of the Department of Surgery in the General Hospital in Nova Bila in the period from 1 January, 2006 to 31 December, 2007. The survival of surgically treated patients was analyzed using TRISS method and W, M and Z statistics with the purpose of comparison with MTOS standards, and the risk of development of postoperative complications was analyzed using PATI method.
Results: Most of the patients were men (91,7%) with an average age of 39,6. One third of patients (33,3%) were injured in traffic accidents. Predicted survival was 86,4%, while the actual survival was 86,1%. W equals -0,268, M equals 0,822 and Z equals 0,074 (p< 0,05). Penetrating abdominal trauma index (PATI) was 17,6 22,5.
Conclusion: Z statistics 0,074 indicate that there is no statistically considerable difference between the real and predicted survival. Surgical care in hospital suits MTOS standards.

Keywords

Trauma severity indices; Injury severity score (ISS); Abdominal injuries - classification; Revised trauma score (RTS); Trauma and injury severity score (TRISS); Penetrating abdominal trauma index (PATI); Survival; Health care quality, access, and evaluation; Major trauma outcome study (MTOS)

Hrčak ID:

191463

URI

https://hrcak.srce.hr/191463

Publication date:

1.12.2007.

Article data in other languages: croatian

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