Author/Editor		Brilej, Drago; Buhanec, Božidar; Komadina, Radko; Batišta, Miroslav
Title		Analiza uspeha zdravljenja politravmatiziranih poškodovancev z metodo TRISS
Translated title		Quality control of treatment in polytraumatized patients using TRISS method
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 66, št. 7-8
Publication year		1997
Volume		str. 393-5
Language		slo
Abstract		Background. Evaluation of trauma care is essential in improving of treatment in trauma patients. Combined Trauma and Injury Severity Score (TRISS) method offers a valid approach for comparison of the results among institutions, evaluation of the implementation of new methods for improvement of trauma care and evaluation inside the institution in different time periods. We compared the quality of treatment of politraumatized patients in General Hospital Celje (GHC) with international standards of trauma care. Methods. 147 politraumatized patients consecutively admited to GHC between January 1992 and December 1995 were analysed. Data were collected prospectivelly by using the Admission protocol for politraumatized patients. Probabilities of survival were predicted with TRISS method and "z" and "W" statistics were calculated. Results. 114 male and 33 female patients were treated. The average Injury Severity Score (ISS) was 28.6. Thirty-two patients died. Calculation of "z" statistic (-1.21) showed no statistic difference from international standards. Conclusions. We found the TRISS method useful for the quality of trauma care evaluation. Our results are encouraging and comparable with international standards. In the two consecutive time period from 1992-1993 and from 1994-1995 we found improvement in results of the trauma care according to the TRISS methodology.
Summary		Izhodišča. Če želimo doseči napredek pri zdravljenju poškodovancev, moramo sproti analizirati rezultate. Metoda TRISS omogoča primerjavo rezultatov v različnih časovnih obdobjih, primerjavo med ustanovami in vrednotenje novih metod pri oskrbi poškodovancev. Primerjali smo uspeh zdravljenja politravmatiziranih poškodovancev v Splošni bolnišnici Celje (SBC) z mednarodnimi standardi. Metode. Analizirali smo 147 politravmatiziranih poškodovancev, zdravljenih v SBC od januarja 1992 do decembra 1995. Podatke smo zbirali prospektivno s pomočjo Sprejemnega protokola za politravmatizirane poškodovance. Z metodo TRISS smo ugotavljali verjetnost preživetja vsakega posameznika (Ps), izračunali statistiko "z" in število "W". Rezultati. Med 147 poškodovanci je bilo 114 moških in 33 žensk. Povprečni ISS (Injury severity score) je bil 28,6. Umrlo je 32 politravmatizirancev. Vrednost "z" je bila-1.21 in "W"-3,85, kar predstavlja statistično nepomembno odstopanje od mednarodnih norm. Zaključki. Z metodo TRISS smo našli učinkovito orodje za spremljanje uspeha zdravljenja politravmatiziranih poškodovancev. Z dobljenimi rezultati smo zadovoljni, ker so v okviru mendarodnih norm. V dveh zaporednih časovnih obdobjih (1992-93, 1994-95) smo dosegli izboljšanje rezultatov, kar ocenjujemo kot pomemben uspeh.
Descriptors		MULTIPLE TRAUMA TRAUMA SEVERITY INDICES INJURY SEVERITY SCORE TREATMENT OUTCOME