TY - JOUR
T1 - Lethal abdominal gunshot wounds at a level I trauma center
T2 - Analysis of TRISS (Revised Trauma Score and Injury Severity Score) fallouts
AU - Cornwe, Edward E.
AU - Velmahos, George C.
AU - Berne, Thomas V.
AU - Tatevossian, Raymond
AU - Beizberg, Howard
AU - Eckstein, Mark
AU - Murray, James A.
AU - Asensio, Juan A.
AU - Demetriades, Demetrios
PY - 1998/8/24
Y1 - 1998/8/24
N2 - Background: The TRISS methodology (composite index of the Revised Trauma Score and the Injury Severity Score) has become widely used by trauma centers to assess quality of care. The American College of Surgeons recommends including negative TRISS fallouts (fatally injured patients predicted to survive by the TRISS methodology) as a filter to select patients for peer review. The purpose of this study was to analyze the TRISS fallouts among patients with lethal abdominal gunshot wounds admitted to a level I trauma center. Study Design: All patients categorized as TRISS fallouts admitted from January 1995 through December 1996 were analyzed. Results: During the study period, 848 patients with abdominal gunshot wounds were admitted. Of the 108 patients with any sign of life on admission who subsequently died, 39 (36%) were TRISS fallouts. The patients were largely young (mean age, 29 years) and male (87%), received rapid transport (mean scene time, 11 minutes), and had an attending-led trauma-team response (
AB - Background: The TRISS methodology (composite index of the Revised Trauma Score and the Injury Severity Score) has become widely used by trauma centers to assess quality of care. The American College of Surgeons recommends including negative TRISS fallouts (fatally injured patients predicted to survive by the TRISS methodology) as a filter to select patients for peer review. The purpose of this study was to analyze the TRISS fallouts among patients with lethal abdominal gunshot wounds admitted to a level I trauma center. Study Design: All patients categorized as TRISS fallouts admitted from January 1995 through December 1996 were analyzed. Results: During the study period, 848 patients with abdominal gunshot wounds were admitted. Of the 108 patients with any sign of life on admission who subsequently died, 39 (36%) were TRISS fallouts. The patients were largely young (mean age, 29 years) and male (87%), received rapid transport (mean scene time, 11 minutes), and had an attending-led trauma-team response (
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U2 - 10.1016/S1072-7515(98)00182-3
DO - 10.1016/S1072-7515(98)00182-3
M3 - Article
C2 - 9704956
AN - SCOPUS:0031877150
VL - 187
SP - 123
EP - 129
JO - Journal of the American College of Surgeons
JF - Journal of the American College of Surgeons
SN - 1072-7515
IS - 2
ER -