INTRODUCTION Trauma and injury severity score (TRISS), introduced in 1981 is a combination index based on revised trauma score (RTS), injury severity score (ISS) and patient's age. In this study we have used TRISS method to predict the outcome in trauma cases. MATERIALS AND METHODS 1000 consecutive cases of trauma of adult age group admitted in casualty of Dayanand Medical College and Hospita...

OBJECTIVE To describe the burden of road transport-related serious injury in Victoria, Australia, over a 10-year period, after the introduction of an integrated trauma system. BACKGROUND Road traffic injury is a leading cause of death and disability worldwide. Efforts to improve care of the injured are important for reducing burden, but the impact of trauma care systems on burden and cost of ...

BACKGROUND Elderly trauma patients have a higher incidence of medical comorbidities when compared with their younger cohorts. Currently, the minimally accepted criteria established by the Committee on Trauma for the highest level of trauma activation (Level I) does not include age as a factor. Should patients older than 60 years with multiple injuries and/or a significant mechanism of injury be...

OBJECTIVE To assess the demands made on a regional trauma centre by a district trauma unit. DESIGN Two part study. (1) Prospective analysis of one month's workload. (2) Retrospective analysis of one year's workload by using a computer based records system. Comparison of two sets of results. SETTING Accident unit in Gwynedd Hospital, Bangor. PATIENTS (1) All patients who attended the accid...

OBJECTIVE To determine the incidence of injuries missed in the emergency room (ER) and the factors involved. DESIGN Retrospective. METHOD Of patients with an Hospital trauma index-injury severity score (HTI-ISS) > or = 14 who were treated in 1996 in the ER of the Academic Hospital Utrecht, the Netherlands, it was studied in the computerized database whether injuries had been missed. A misse...

OBJECTIVE To better match hospital resources to patients' needs of trauma care, a protocol for facilitating in-hospital triage decisions was implemented at a Swedish level I trauma centre. In the protocol, physiological parameters, anatomical injuries and mechanism of injury were documented, and used to activate full or limited trauma team response. The aim of this study was to evaluate the eff...

BACKGROUND Length of hospitalization is a good indicator of resource utilization. Older patients are increasingly suffering trauma, and comorbid medical conditions are also increasing. Our objective was to determine the separate and combined effect of these 2 factors on length of hospital stay for trauma patients in a tertiary trauma centre. METHODS All 994 consecutive trauma patients survivi...

OBJECTIVE To determine whether being admitted with major trauma to an emergency department outside rather than within working hours results in an adverse outcome. METHODS The data were collected from hospitals in England and Wales participating in the Trauma Audit and Research Network (TARN). Data from the TARN database were used. Admission time and discharge status were cross matched, and th...