Outcome Assessment of Physiologic and Clinical Predictors of Survival in Patients after Traumatic Injury with a Trauma Score Less Than 5

Abstract

In patients who survived to discharge, signs of central nervous system activity in the field was a positive predictor of survival, and severe head injury served as a negative predictor of survival.

Early Predictors of Transfusion and Mortality After Injury: A Review of the Data-Based Literature

“…26 Trauma scoring systems for use in the field or upon presentation to the emergency department have only a moderate predictive capacity to determine mortality after injury. [27][28][29][30] Kuhls and colleagues studied a multivariable model strategy in which physiologic trauma score (admission SIRS score-see below-Glasgow Coma score, and age) provided superior predictive potential when compared with anatomic scoring systems such as injury severity score. 28 In a related study, Bochicchio demonstrated that SIRS score (temperature Ͼ38°C or Ͻ36°C, heart rate Ͼ120 beats per minute, respiratory rate Ͼ20 per minute, leucocytosis Ͼ12,000 or Ͻ4,000 cells per mL) was an independent predictor of mortality after injury.…”

Admission Perfusion CT: Prognostic Value in Patients with Severe Head Trauma

“…On the other hand, older age and abnormal pupillary reaction were not significantly associated with the GOS score, although they have been reported to be outcome predictors (3)(4)(5)16,35,36). This is likely related to the rather small number of old patients in the present study.…”

“…An average value was calculated for the entire cerebral parenchyma displayed on the two sections obtained with perfusion CT. The number of patients with a preexisting stroke at the time of the study was limited (5). In these five patients, the perfusion CT alterations associated with preexisting stroke were set apart and not taken into account in the calculation of the perfusion CT scores.…”

Long-Term Monitoring of Renal Function in Poly-Traumatized Intensive Care Patients

“…[3][4][5] All patients were examined daily in the ICU at predetermined time-points. The medication and ventilation therapy were also documented, and the APACHE-II-score was measured.…”