Correlation between trauma and injury severity score and prognosis in patients with trauma

Objectives: This study aims to determine the correlation
between Trauma and Injury Severity Score (TRISS) and
prognosis in patients with trauma.
Methods: We retrospectively analysed 187 medical re-
cords of patients with trauma who presented to the
emergency department of a level II trauma centre in East
Java, Indonesia, between August and December 2018.
We analysed the data, which included demographic
characteristics, Glasgow Coma Scale score, systolic blood
pressure, respiratory rate, and injury scores of six parts of
the body. Spearman’s rank correlation was used to
determine the correlation among variables.
Results: A total of 181 medical records of patients with
trauma were reviewed in this study. Two-third of the
patients were male (n = 113, 62.4%). Approximately half
of the trauma injuries were caused by road traffic acci-
dents (n = 89, 49.2%); the majority of these injuries
resulted from blunt trauma (n = 167, 92.3%). The
TRISSes of most of the patients (n = 178, 98.3%) with a
good prognosis ranged from 77.1% to 99.7%. There was
a statistically significant correlation between trauma,
TRISS, and prognosis (p = 0.002 < 0.05), with a positive
correlation among variables (r = 0.225).
Conclusion: There was a significant correlation between
TRISS and prognosis in patients with trauma.