Clinical Prediction Rule of Newgard et al for Interhospital Transfer of a Patient with Blunt Traumatic Brain Injury (TBI)

Description

Newgard et al reported a clinical prediction rule for interhospital transfer of a patient with blunt traumatic brain injury (TBI). The rule can help to identify a patient who is at significant risk for requiring high therapeutic intensity. The authors are from Oregon Health & Science University.

Patient selection: 18-65 years of age AND serious blunt head injury

High therapeutic intensity may include any of the following within 72 hours:

(1) neurosurgery

(2) exploratory laparotomy

(3) vasopressor support

(4) >= 6 units packed RBCs

(5) death

Parameters:

(1) Glasgow coma scale (GCS) in the ED

(2) intubation

(3) respiratory rate in the ED

(4) age in years

(5) temperature in °C in the ED

(6) heart rate in the ED

Parameter (in sequence)	Risk
GCS < 13 OR intubated	high
respiratory rate < 16 beats per minute	high
age 32 to 65 years of age	moderate
temperature< 36.6°C	high
pulse > 98 beats per minute	high
else	low

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Clinical Prediction Rule of Newgard et al for Interhospital Transfer of a Patient with Blunt Traumatic Brain Injury (TBI)

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