Has TRISS become an anachronism? A comparison of mortality between the National Trauma Data Bank and Major Trauma Outcome Study databases Frederick B. Rogers, MD, MS, Turner Osler, MD, MS, Margaret Krasne, Amelia Rogers, BS, Eric H. Bradburn, DO, John C. Lee, MD, Daniel Wu, DO, Nathan McWilliams, MPA, RHIA, and Michael A. Horst, PhD, MPHS, MS, Lancaster, Pennsylvania AAST Continuing Medical Education Article Accreditation Statement This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Edu- cation through the joint sponsorship of the American College of Surgeons and the American Association for the Surgery of Trauma. The American College Surgeons is accredited by the ACCME to provide continuing medical education for physicians. AMA PRA Category 1 Creditsi The American College of Surgeons designates this Journal-based CME activity for a maximum of 1 AMA PRA Category 1 Credit i for each article. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Objectives After reading the featured articles published in the Journal of Trauma and Acute Care Surgery, participants should be able to demonstrate increased understanding of the material specific to the article. Objectives for each article are featured at the beginning of each article and online. Test questions are at the end of the article, with a critique and specific location in the article referencing the question topic. Claiming Credit To claim credit, please visit the AAST website at http://www.aast.org/ and click on the Be-Learning/MOC[ tab. You must read the article, successfully complete the post-test and evaluation. Your CME certificate will be available immediately upon receiving a passing score of 75% or higher on the post-test. Post-tests receiving a score of below 75% will require a retake of the test to receive credit. System Requirements The system requirements are as follows: Adobe\ Reader 7.0 or above installed; Internet Explorer\ 7 and above; Firefox\ 3.0 and above, Chrome\ 8.0 and above, or Safarii 4.0 and above. Questions If you have any questions, please contact AAST at 800-789-4006. Paper test and evaluations will not be accepted. Disclosure Information In accordance with the ACCME Accreditation Criteria, the American College of Surgeons, as the accredited provider of this journal activity, must ensure that anyone in a position to control the content of J Trauma articles selected for CME credit has disclosed all relevant financial relationships with any commercial in- terest. Disclosure forms are completed by the editorial staff, associate editors, reviewers, and all authors. The ACCME defines a ‘commercial interest’ as Bany entity producing, marketing, re-selling, or distributing health care goods or ser- vices consumed by, or used on, patients.[BRelevant[ financial relationships are those (in any amount) that may create a conflict of interest and occur within the 12 months preceding and during the time that the individual is engaged in writing the article. All reported conflicts are thoroughly managed in order to ensure any potential bias within the content is eliminated. However, if you perceive a bias within the article, please report the circumstances on the evaluation form. Please note we have advised the authors that it is their responsibility to disclose within the article if they are describing the use of a device, product, or drug that is not FDA approved or the off-label use of an approved device, product, or drug or unapproved usage. Disclosures of Significant Relationships with Relevant Commercial Companies/Organizations by the Editorial Staff: Ernest E. Moore, MD, Editor, received research support from Haemonetics. David B. Hoyt, MD, Associate Editor/CME Editor, Ronald Maier, MD, Associate Editor, and Steven Shackford, MD, Associate Editor have nothing to disclose. Jennifer Crebs, Managing Editor, received consulting fees from Golden Helix, Expression Analysis, Illumina, and Lineagan. Jo Fields, Editorial Assistant, and Angela Sauaia, MD, Biostatistician, have nothing to disclose. Author Disclosures: All authors have nothing to disclose. Reviewer Disclosures: Adam Shiroff, MD, speaker honorarium, Synthes. Howard Champion has nothing to disclose. Cost For AAST members and Journal of Trauma and Acute Care Surgery subscribers there is no charge to participate in this activity. For those who are not a member or subscriber, the cost for each credit is $50. Submitted: November 28, 2011; Revised: February 7, 2012; Accepted: April 9, 2012. Fromthe Trauma Center (F.B.R., M.K., A.R., E.H.B., J.C.L., D.W., M.A.H.), Lancaster General Health, Lancaster; and Pennsylvania Trauma Systems Foundation (N.M.), Mechanicsburg, Pennsylvania; and Department of Surgery (T.O.), Universityof Vermont, Burlington, Vermont. This study was presented at the 25th annual meeting of the Eastern Association for the Surgery of Trauma, January 10Y14, 2012, in Lake Buena Vista, Florida. These data were provided by the Pennsylvania Trauma Systems Foundation, Mechanicsburg, Pennsylvania. The Foundation specifically disclaims responsibility for any analyses, interpretations, or conclusions. Address for reprints: Frederick B. Rogers, MD, MS, FACS, Lancaster General Hospital, 555 N. Duke St, Lancaster, PA 17602; email: frogers2@lghealth.org. DOI: 10.1097/TA.0b013e31825a7758 CME ARTICLE J Trauma Acute Care Surg Volume 73, Number 2 326 Copyright © 2012 Lippincott Williams & Wilkins. Unauthorized reproduction of this article is prohibited.