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Annals of The Royal College of Surgeons of England logoLink to Annals of The Royal College of Surgeons of England
. 1991 Jan;73(1):53–57.

Deaths following trauma: an audit of performance.

I C Phair 1, D J Barton 1, M R Barnes 1, M J Allen 1
PMCID: PMC2499332  PMID: 1996865

Abstract

The TRISS methodology was applied to identify preventable trauma deaths in a retrospective audit of 267 (M = 0.908) patients admitted to a teaching hospital through the resuscitation room of its accident and emergency department during a 1-year period. No unexpected survivors were identified; of the 44 deaths (Z = 5.35), 25 (56.8%) were judged preventable by the TRISS method. Those deaths deemed preventable were subjected to peer review by a panel of six consultants. The findings are discussed in respect of recommendations made for UK trauma centre provision by the Working Party Report of the Royal College of Surgeons of England on the management of patients with major injuries.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Anderson I. D., Woodford M., de Dombal F. T., Irving M. Retrospective study of 1000 deaths from injury in England and Wales. Br Med J (Clin Res Ed) 1988 May 7;296(6632):1305–1308. doi: 10.1136/bmj.296.6632.1305. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Baker S. P., O'Neill B., Haddon W., Jr, Long W. B. The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. J Trauma. 1974 Mar;14(3):187–196. [PubMed] [Google Scholar]
  3. Boyd C. R., Tolson M. A., Copes W. S. Evaluating trauma care: the TRISS method. Trauma Score and the Injury Severity Score. J Trauma. 1987 Apr;27(4):370–378. [PubMed] [Google Scholar]
  4. Copes W. S., Sacco W. J., Champion H. R. Evaluations of hospital and/or trauma care systems. Arch Emerg Med. 1989 Sep;6(3):165–168. doi: 10.1136/emj.6.3.165. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Eastman A. B., Lewis F. R., Jr, Champion H. R., Mattox K. L. Regional trauma system design: critical concepts. Am J Surg. 1987 Jul;154(1):79–87. doi: 10.1016/0002-9610(87)90294-7. [DOI] [PubMed] [Google Scholar]
  6. Eichelberger M. R., Bowman L. M., Sacco W. J., Mangubat E. A., Lowenstein A. D., Gotschall C. S. Trauma score versus revised trauma score in TRISS to predict outcome in children with blunt trauma. Ann Emerg Med. 1989 Sep;18(9):939–942. doi: 10.1016/s0196-0644(89)80457-3. [DOI] [PubMed] [Google Scholar]
  7. Flora J. D., Jr A method for comparing survival of burn patients to a standard survival curve. J Trauma. 1978 Oct;18(10):701–705. doi: 10.1097/00005373-197810000-00003. [DOI] [PubMed] [Google Scholar]
  8. Gennarelli T. A., Champion H. R., Sacco W. J., Copes W. S., Alves W. M. Mortality of patients with head injury and extracranial injury treated in trauma centers. J Trauma. 1989 Sep;29(9):1193–1202. doi: 10.1097/00005373-198909000-00002. [DOI] [PubMed] [Google Scholar]
  9. Harviel J. D., Landsman I., Greenberg A., Copes W. S., Flanagan M. E., Champion H. R. The effect of autopsy on injury severity and survival probability calculations. J Trauma. 1989 Jun;29(6):766–773. doi: 10.1097/00005373-198906000-00012. [DOI] [PubMed] [Google Scholar]
  10. Irving M. Care of emergencies in the United Kingdom. Br Med J (Clin Res Ed) 1981 Sep 26;283(6295):847–849. doi: 10.1136/bmj.283.6295.847. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Montague A. P., Brooks S. C. One year's trauma in a district general hospital: injury severity and survival. Arch Emerg Med. 1989 Jun;6(2):116–124. doi: 10.1136/emj.6.2.116. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Spence M. T., Redmond A. D., Edwards J. D. Trauma audit--the use of TRISS. Health Trends. 1988 Aug;20(3):94–97. [PubMed] [Google Scholar]
  13. Teasdale G., Jennett B. Assessment of coma and impaired consciousness. A practical scale. Lancet. 1974 Jul 13;2(7872):81–84. doi: 10.1016/s0140-6736(74)91639-0. [DOI] [PubMed] [Google Scholar]
  14. Wardrope J. Traumatic deaths in the Sheffield and Barnsley areas. J R Coll Surg Edinb. 1989 Apr;34(2):69–73. [PubMed] [Google Scholar]
  15. West J. G., Cales R. H., Gazzaniga A. B. Impact of regionalization. The Orange County experience. Arch Surg. 1983 Jun;118(6):740–744. doi: 10.1001/archsurg.1983.01390060058013. [DOI] [PubMed] [Google Scholar]
  16. West J. G., Trunkey D. D., Lim R. C. Systems of trauma care. A study of two counties. Arch Surg. 1979 Apr;114(4):455–460. doi: 10.1001/archsurg.1979.01370280109016. [DOI] [PubMed] [Google Scholar]

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