Chest Wall Trauma Score (CWTS) of Pressley et al

Description

Pressley et al reported a score for chest wall trauma. This can help to identify a patient who may require more aggressive management. The authors are from West Penn Allegheny Health System, University of South Caroline, Virginia Tech Carilion School of Medicine and University of Kansas.

Patient selection: trauma patient with chest wall injury

Parameters:

(1) age in years

(2) number of rib fractures

(3) pulmonary contusion score

(4) bilateral rib fractures

Parameters	Findings	Points
age in years	< 45 years	1
	45 to 65 years	2
	> 65 years	3
number of risk factors	< 3	1
	3 to 5	2
	> 5	3
pulmonary contusion	none	0
	mild	1
	moderate	2
	severe	3
	bilateral	4
bilateral rib fractures	no	0
	yes	2

total score =

= SUM(points for all of the parameters)

Interpretation:

• minimum score: 2

• maximum score: 12

• A score >= 5 is associated with a worse outcome.

• A score >= 7 is associated with requiring intubation.

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Chest Wall Trauma Score (CWTS) of Pressley et al

Description

Specialty