Adjustment of Trauma and Injury Severity Sccore (TRISS) and Revised Trauma Score (RTS) in Predicting Mortality of Multitraumapatients in Sanglah Hospital Bali

Ivan H Hadisaputra¹ , Gede Suwedagatha¹ and Tjokorda GdeBagus Mahadewa²*

¹Department of Surgery, Faculty of Medicine,  Udayana University/Sanglah General Hospital, Bali, Indonesia

²Department of Surgery, Faculty of Medicine, Udayana University Jl. PB Sudirman, Denpasar 80232, Bali, Indonesia

Corresponding Author E-mail: tjokmahadewa@unud.ac.id

Abstract:

Background: The Trauma and Injury Severity Score (TRISS) is the most applied tool to predict the multi trauma outcome. It is shown that the predictive value of TRISS could be improved by adjusting the coefficient. Originally this study aims to evaluate our hospital in treating multitrauma patients, with good outcome we propose adjustment to TRISS formula.

Methodology:This study is a diagnostic test to determine the accuracy of TRISS scores to predict mortality of multitrauma patients treated in Sanglah General Hospital.

Result: Fifty two multitrauma patients with ISS score > 18 with at least 2 body regions being injured. The TRISS diagnostic test was obtained with a sevsitivity 81.8%, specificity 97.6%, positive predictive value 90%, negative predictive value 95.2%, prevalence 21%, accuracy rate of 94.2%.

Conclusion: Adjustment to TRISS formula coefficient for better prediction is proposed. Physiological parameter in RTS that does not include respiratory rate shows reliable prediction, which can be used in emergency setting when anatomical diagnostic has not yet to be obtained.

Keywords: Multi Trauma; RTS; TRISS; Revised Score

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