Contemporary New Zealand coefficients for the trauma injury severity score: TRISS(NZ)

Schluter, Philip J., Cameron, Cate, Davey, Tamzyn, Civil, Ian, Orchard, Jodie, Dansey, Rangi, Hamill, James, Naylor, Helen, James, Carolyn, Dorrian, Jenny, Christey, Grant, Pollard, Cliff and McClure, Rod (2009) Contemporary New Zealand coefficients for the trauma injury severity score: TRISS(NZ). The New Zealand Medical Journal, 122 1302: 54-64.


Author Schluter, Philip J.
Cameron, Cate
Davey, Tamzyn
Civil, Ian
Orchard, Jodie
Dansey, Rangi
Hamill, James
Naylor, Helen
James, Carolyn
Dorrian, Jenny
Christey, Grant
Pollard, Cliff
McClure, Rod
Title Contemporary New Zealand coefficients for the trauma injury severity score: TRISS(NZ)
Journal name The New Zealand Medical Journal   Check publisher's open access policy
ISSN 0028-8446
1175-8716
Publication date 2009-09-11
Year available 2009
Sub-type Article (original research)
Volume 122
Issue 1302
Start page 54
End page 64
Total pages 12
Editor Frank Frizelle
Place of publication Christchurch, New Zealand
Publisher New Zealand Medical Association
Collection year 2010
Language eng
Subject 111706 Epidemiology
920409 Injury Control
Formatted abstract Aims.
To develop local contemporary coefficients for the Trauma Injury Severity Score in New Zealand, TRISS(NZ), and to evaluate their performance at predicting survival against the original TRISS coefficients.

Methods.
Retrospective cohort study of adults who sustained a serious traumatic injury, and who survived until presentation at Auckland City, Middlemore, Waikato, or North Shore Hospitals between 2002 and 2006. Coefficients were estimated using ordinary and multilevel mixed-effects logistic regression models.

Results.
1735 eligible patients were identified, 1672 (96%) injured from a blunt mechanism and 63 (4%) from a penetrating mechanism. For blunt mechanism trauma, 1250 (75%) were male and average age was 38 years (range: 15–94 years). TRISS information was available for 1565 patients of whom 204 (13%) died. Area under the Receiver Operating Characteristic (ROC) curves was 0.901 (95%CI: 0.879–0.923) for the TRISS(NZ) model and 0.890 (95% CI: 0.866–0.913) for TRISS (P<0.001). Insufficient data were available to determine coefficients for penetrating mechanism TRISS(NZ) models.

Conclusions.

Both TRISS models accurately predicted survival for blunt mechanism trauma. However, TRISS(NZ) coefficients were statistically superior to TRISS coefficients. A strong case exists for replacing TRISS coefficients in the New Zealand benchmarking software with these updated TRISS(NZ) estimates.
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Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: 2010 Higher Education Research Data Collection
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