Outcome of In-Patient Trauma Cases: Accident and Emergency Unit, Khon Kaen University
Chaiyut Thanapaisal MD*, Narongchai Wongkonkitsin MD*, O-Tur Sae Seow MD*, Dhanes Rangsrikajee MD*, Kriangsak Jenwitheesuk MD*, Ake Phugkhem MD*, Vajarabhongsa Bhudisawadi MD*
Affiliation : * Accident and Emergency Unit, Department of Surgery, Faculty of Medicine, Khon Kaen University, Khon Kaen
Objectives : To study and report the outcome of in-patient trauma cases based on the Trauma and Injury
Severity Scoring (TRISS) method and compare the outcome with the registry data from the Major Trauma
Outcome Study (MTOS).
Materials and Methods : A descriptive study was performed by retrospective data collection. From 1 January
2002 to 31 December 2002, all admitted trauma patients in the Accident and Emergency Unit, Department of
Surgery, Faculty of Medicine, Khon Kaen University were included in the present study. Survival analysis was
completed for all of the patients.
Statistical analysis: TRISS method and W, M and Z-statistics (Z-score) on the basis of definitive outcome-based
evaluation (DEF) method for comparing with MTOS data.
Results : The majorities of patients were men (76.85%) and mean age was 30.81 years. One hundred and ninety
five patients (96.06%) sustained blunt trauma, the vast majority resulting from motor vehicle crashes. The
observed survivors were 182, whereas the expected survivors were 183.582. The W, M and Z-statistics were -
0.779, 0.843 and -0.493 respectively.
Conclusion : Z-score -0.493 indicated no statistical difference between observed and expected survivors.
Keywords : Injury severity score, Revised trauma score, Trauma and injury severity score, Abbreviated injury score, Trauma, Outcome, Probability of survival, Major trauma outcome study
