@article{ref1,
title="Trauma outcome analysis of a jakarta university hospital using the triss method: validation and limitation in comparison with the major trauma outcome study. trauma and injury severity score",
journal="Journal of trauma",
year="2001",
author="Ponsen, Kees Jan and Luitse, Jan S. K. and Soedarmo, S. and Joosse, P.",
volume="51",
number="1",
pages="134-140",
abstract="BACKGROUND: In this prospective study, the TRISS methodology is used to compare trauma care at a University Hospital in Jakarta, Indonesia, with the standards reported in the Major Trauma Outcome Study (MTOS). METHODS: Between February 24, 1999, and July 1, 1999, all consecutive patients with multiple and severe trauma were included in the study (n = 105). Survival analysis was completed for 97 (92%) patients. RESULTS: The majority of patients were men (81%), and the average age was 28 years. Ninety-five patients (98%) sustained blunt trauma, with motor vehicle crashes being the most common (68%). The predicted mortality was 14% and the observed mortality was 29%. The Z and M statistics were 7.87 and 0.843, respectively. CONCLUSION: We conclude that in developing countries both institution-bound factors and specific limitations in the TRISS methodology are responsible for the difference between predicted and observed mortality, indicating the need for a regional database.",
language="",
issn="0022-5282",
doi="",
url="http://dx.doi.org/"
}