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Charles D. Mabry, MD

Arch Surg. 2009;144(4):332.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Glance et al have produced an important article that outlines a new and useful trauma quality method, the T-MPM, that compares favorably with the ISS in terms of predicting mortality. The T-MPM is based on the ICD-CM-9 diagnosis codes, which are used for the hospital administrative data set as part of the hospital billing process. Conversely, the ISS, currently used by many trauma centers, is derived from the AIS, requiring a more labor-intensive coding and trauma database process. The authors further demonstrated that the ISS and T-MPM could be improved (augmented ISS and T-MPM) by inclusion of 3 patient-specific factors to the calculation (age, sex, and the motor component of the GCS), resulting in almost identical conclusions regarding trauma mortality.

Why are these important findings? America spent $72.5 billion in 2005 on trauma care, ranking second only to expenditures for heart conditions.¹ Pay for performance and . . . [Full Text of this Article]

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Expert Consensus vs Empirical Estimation of Injury Severity: Effect on Quality Measurement in Trauma
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