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Table 1 Adjusted TRISS misclassification rate and adjusted w-statistic

From: Evaluation of trauma care using TRISS method: the role of adjusted misclassification rate and adjusted w-statistic

TRISS Method

deaths Od

survivors Os

Expected:

Positive (P(s) < 50%)

TP

FP

Ed = TP+FP

 

a

b

Ed = a+b

 

EOd

Us

Ed = Us+ EOd

Negative (P(s) > 50%)

FN

TN

Es = FN+TN

 

c = c1+c2

d

Es = c+d

 

c1 = Pd;

EOs

Es = Ud+EOs

 

c2 = nonPd

  
 

Ud

  

Observed:

Od = TP+FN

Os = FP+TN

N = Ed+Es

 

Od = a+c

Os = b+d

N = a+b+c+d

 

Od = EOd+Ud

Os = Us+EOs

N = Od+Os

Misclassification rate = (FP + FN)/N = (b + c)/N = (Us + Ud)/N

Adjusted misclassification rate

= (FP+FN-Pd)/N

  

= (b +c -Pd)/N

  

= Us + Ud - Pd/N

W statistic

= (FP+TN) - (FN+TN)/N = (FP - FN)/N

  

= (b+d) - (c+d)/N = (b-c)/N

  

= (Os - Es)/N

  

= (Us+EOs) - (Ud + EOs)/N = (Us - Ud)/N

Adjusted W statistic

= [FP-(FN-nonPd)/N = (FP- Pd)/N

  

= [b - (c - nonPd)]/N = (b - Pd)/N

  

(c = c1+ c2; Pd = c - nonPd)

  

= (Us - Pd)/N

  

= [Os- (Es- nonPd)]/N

  1. Elements of TRISS misclassification rate and w-statistic, formulas and abbreviation used to describe observed and expected outcome Abbreviations: TP (a) = True positive = EOd = Expected observed deaths, FP (b) = False positive = Us= Unexpected survivors, FN (c) = False negative = Ud = Unexpected deaths, (c1) = Pd = preventable deaths, (c2) = nonPd = Nonpreventable deaths, TN (d) = True negative = EOs = Expected observed survivors, Ed= Expected deaths, Es = Expected survivors, Od = Observed deaths, Os = Observed survivors.