Description

Talving et al identified risk factors associated with coagulopathy associated with traumatic brain injury (TBI). These findings can help to identify a patient who may benefit from closer monitoring for this complication. The authors are from the University of Southern California in Los Angeles.


 

Parameters:

(1) Glasgow coma score (GCS)

(2) systolic blood pressure on admission

(3) injury severity score (ISS)

(4) cerebral edema

(5) subarachnoid hemorrhage

(6) midline shift

Parameter

Finding

Points

Glasgow coma score

9 to 15

0

 

3 to 8

1

systolic blood pressure on admission

>= 90 mm Hg

0

 

< 90 mm Hg

1

ISS

< 16

0

 

>= 16

1

cerebral edema

absent

0

 

present

1

subarachnoid hemorrhage

absent

0

 

present

1

midline shift

absent

0

 

present

1

 

total number of risk factors =

= SUM(points for all 6 risk factors)

 

Interpretation:

• minimum number of risk factors: 0

• maximum number of risk factors: 6

• The risk of TBI-associated coagulopathy increases with the number of risk factors present.

 

Additional findings:

(1) severe traumatic brain injury (AIS >= 3)

(2) penetrating brain injury

 


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