In Search of Benchmarking for Mortality Following Multiple Trauma: A Swiss Trauma Center Experience

摘要: The manifestations associated with non-survival after multiple trauma may vary importantly between countries and institutions. aim of the present study was to assess quality performance by comparing actual mortality rates literature. involved evaluation a prospective consecutive cohort (injury severity score, ISS > 16) primarily admitted university hospital. Univariate multivariate testing routine parameters scores, such as Trauma Injury Severity Score (TRISS), used determine their predictive powers for mortality. 30-day 22.8% (n = 54) exactly matched predicted TRISS versions Champion or Major Outcome Study our 237 patients (42.8 ± 20.9 years; ISS 29.5 ± 11.5). analysis revealed significant differences survivors non-survivors when compared age, ISS, Glasgow coma scale (GCS), pulse oximeter saturation (SapO2), hemoglobin, prothrombin time, lactate. In analysis, GCS (P < 0.001 each) functioned major independent prognostic both 24 h Various hardly differed in precision (area under curve [AUC] 0.83–0.84), but they did differ considerably level requirement, using newer National Data Bank coefficients (NTDB-TRISS) offering highest target benchmark (predicted 13%, Z value –5.7) prediction Because current lack single, internationally accepted scoring system trauma, comparison outcomes medical centers remains unreliable. To achieve effective control, practical benchmarking model, TRISS-NTDB, should be worldwide.