Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Reiter, A; Mauritz, W; Jordan, B; Lang, T; Pölzl, A; Pelinka, L; Metnitz, PG.
Improving risk adjustment in critically ill trauma patients: the TRISS-SAPS Score.
J Trauma. 2004; 57(2):375-380
Doi: 10.1097/01.TA.0000104016.78539.94
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PubMed
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- Führende Autor*innen der Med Uni Graz
- Metnitz Philipp
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- Abstract:
- To test (a) the prognostic performance of TRISS and SAPS II scoring systems in a large sample of trauma patients admitted to Austrian ICUs, and (b) the hypothesis that the prognostic performance of TRISS could be improved by adding SAPS II. Prospective multicenter cohort study comprising 5,538 trauma patients out of 35,637 patients admitted to 31 ICUs in Austria over a 4-year period. Separately, TRISS and SAPS II showed lack of calibration in the cohort of trauma patients. The database was then split into two equal samples, development and validation. Using the development sample, a new scoring system was developed, with vital status at hospital discharge as the dependent variable and TRISS and SAPS II as independent variables. The prognostic performance of the new TRISS-SAPS system was then assessed in the validation cohort: Both, discrimination (as shown by area under the ROC curve), and calibration (using Hosmer-Lemeshow goodness-of-fit statistics) was excellent. We improved risk adjustment in critically ill trauma patients by combining TRISS and SAPS II. This new scoring system might aid in evaluating and comparing specialized trauma ICUs.
- Find related publications in this database (using NLM MeSH Indexing)
- APACHE -
- Adult -
- Aged -
- Aged - epidemiology
- Calibration -
- Comorbidity -
- Critical Illness - classification
- Critical Illness - mortality
- Discriminant Analysis -
- Hospital Mortality -
- Humans -
- Length of Stay - statistics & numerical data
- Logistic Models -
- Middle Aged -
- Multiple Trauma - classification
- Multiple Trauma - mortality
- Outcome Assessment (Health Care) -
- Patient Admission - statistics & numerical data
- Predictive Value of Tests -
- Prognosis -
- Prospective Studies -
- Quality Assurance, Health Care - organization & administration
- ROC Curve -
- Risk Adjustment - methods
- Risk Adjustment - standards
- Survival Analysis -
- Trauma Severity Indices -
- Find related publications in this database (Keywords)
- severity of illness
- SAPS II
- TRISS methodology
- trauma care
- mortality prediction