Morris et al reported 2 scores for predicting the risk of an older trauma patient. One version (qEMAT) is used at patient presentation. The authors are from the University of Minnesota, Medical College of Wisconsin, and University of Michigan.
Patient selection: age >= 65 years
Parameters:
(1) systolic blood pressure in mm Hg
(2) pulse in beats per minute
(3) Glasgow coma scale
(4) penetrating injury
(5) congestive heart failure
(6) chronic renal failure
(7) cirrhosis
(8) age in years
Parameter
Finding
Points
systolic blood pressure
>= 90 mm Hg
0
< 90 mm Hg
17
pulse
> 120
11.5
50 to 120
0
< 50
7
Glasgow coma scale
5.5 * (15 - (GCS))
penetrating injury
no
0
yes
6
congestive heart failure
no
0
yes
11.5
chronic renal failure
no
0
yes
15
cirrhosis
no
0
yes
19
score =
= SUM(points for all of the parameters) + (age)
Interpretation:
• The minimum score for the items listed in the table is 0.
• The paper gives the minimum dEMAT as 65 and the abstract states that the score has 8 parameters, which indicates that age is added to the score.
