Stoffel et al reported a score for predicting early mortality in a patient with a cerebral gunshot wound. The authors are from the Technical University Munich.
ABC = admission blood pressure, brain spill, consciousness
Patient selection: cerebral gunshot wound
Parameters:
(1) oozing (brain tissue spilling out of the gunshot wound)
(2) initial consciousness(or Glasgow coma scale)
(3) admission systolic blood pressure
Parameter
Finding
Points
oozing brain from wound
absent
0
present
1
conscious
yes (GCS > 6)
no (GCS <= 6)
2
systolic blood pressure
< 100 mm Hg
100 to 199 mm Hg
>= 200 mm Hg
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 5
Total Score
Mortality
4%
11%
22%
3
40%
4
61%
5
78%
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Specialty: Surgery, orthopedic, Emergency Medicine
