Lung Organ Failure Score (LOFS): Probability of severe pulmonary organ failure after multiple injuries including chest trauma

Risk stratification in trauma and haemorrhagic shock: Scoring systems derived from the TraumaRegister DGU®

“…The treatment of multiple trauma patients with chest trauma is far from being standardized and the benefit of means such as kinetic therapy has been questioned [34]. Therefore it is not surprising that the LOFS is of little clinical relevance at this time point.…”

“…Point of criticism is the lack of a validation data set. However, the LOFS could be helpful for efficacy analyses of therapeutic means such as rotational bed therapy in selected subgroups with comparable risks for respiratory complications [34].…”

“…This method was used, e.g. in the Trauma Associated Severe Hemorrhage (TASH) Score [16,35], or Lung Organ Failure Score (LOFS) [34]. Moreover, logistic functions can transform point scores into a probability for individual patients, e.g.…”

Are bilateral tibial shaft fractures associated with an increased risk for adverse outcome?

“…As independent variables for death ISS, age, gender, AIS head !3, shock, anaemia and bilateral tibial shaft fracture were included. Independent variables for pulmonary organ failure were chosen according to the Lung Organ Failure Score published by Wutzler et al [18]. The results for the independent predictor variables were presented as odds ratio (OR) with 95% confidence intervals (95% CI).…”

Patients with thoracic trauma and concomitant spinal cord injury have a markedly decreased mortality rate compared to patients without spinal cord injury

“…Another 25 % of chest-injured patients die in combination with other injuries [3,4]. Several studies have reported on patient outcomes following thoracic trauma [5][6][7][8][9][10]. However, there is a lack of data analyzing the mortality rate in chest-injured patients with concomitant spinal cord injuries.…”