A PROSPECTIVE STUDY TO PREDICT MORTALITY IN TRAUMA PATIENTS USING THE TRAUMA SEVERITY SCORING SYSTEM (TRISS)

Objective: This prospective study aims to evaluate the effectiveness of the Trauma Severity Scoring System (TRISS) in predicting mortality among trauma patients. Conducted over a period of 18 months at a tertiary care Methods: trauma center, the study included 500 patients presenting with various types of traumatic injuries. Upon admission, each patient's injury severity was assessed using the TRISS methodology, which integrates the Revised Trauma Score (RTS), the Injury Severity Score (ISS), and patient age. Data on vital signs, Glasgow Coma Scale (GCS) scores, and the anatomical extent of injuries were collected and analyzed. The study cohort Results: comprised 350 males and 150 females with a mean age of 34.6 years. The most common mechanisms of injury were road trafc accidents (60%), falls (25%), and assaults (15%). The overall mortality rate was 12%. TRISS was found to be a signicant predictor of mortality, with an area under the receiver operating characteristic (ROC) curve of 0.85, indicating good discriminatory power. Patients with higher TRISS scores had signicantly higher mortality rates. The TRISS model accurately identied patients at increased risk of death, allowing for early and targeted interventions. The TRISS methodology is a reliable tool for predicting mortality in trauma patients Conclusion: . Its application can enhance clinical decision-making, optimize resource allocation, and potentially improve patient outcomes. Further research is warranted to rene the scoring system and integrate it into routine trauma care practices.