Lethal abdominal gunshot wounds at a level I trauma center: Analysis of TRISS (Revised Trauma Score and Injury Severity Score) fallouts

Edward E. Cornwe, George C. Velmahos, Thomas V. Berne, Raymond Tatevossian, Howard Beizberg, Mark Eckstein, James A. Murray, Juan A. Asensio, Demetrios Demetriades

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

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 (

Original languageEnglish
Pages (from-to)123-129
Number of pages7
JournalJournal of the American College of Surgeons
Volume187
Issue number2
DOIs
StatePublished - 1998
Externally publishedYes

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Gunshot Wounds
Injury Severity Score
Trauma Centers
Wounds and Injuries
Peer Review
Quality of Health Care

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Lethal abdominal gunshot wounds at a level I trauma center : Analysis of TRISS (Revised Trauma Score and Injury Severity Score) fallouts. / Cornwe, Edward E.; Velmahos, George C.; Berne, Thomas V.; Tatevossian, Raymond; Beizberg, Howard; Eckstein, Mark; Murray, James A.; Asensio, Juan A.; Demetriades, Demetrios.

In: Journal of the American College of Surgeons, Vol. 187, No. 2, 1998, p. 123-129.

Research output: Contribution to journalArticle

Cornwe, Edward E. ; Velmahos, George C. ; Berne, Thomas V. ; Tatevossian, Raymond ; Beizberg, Howard ; Eckstein, Mark ; Murray, James A. ; Asensio, Juan A. ; Demetriades, Demetrios. / Lethal abdominal gunshot wounds at a level I trauma center : Analysis of TRISS (Revised Trauma Score and Injury Severity Score) fallouts. In: Journal of the American College of Surgeons. 1998 ; Vol. 187, No. 2. pp. 123-129.
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