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Eppendorf-Cologne Score (ECS) of Hoffmann et al for a Patient with Traumatic Brain Injury (TBI)

Description

Hoffmann et al reported the Eppendorf-Cologne Score (ECS) for a trauma patient with traumatic brain injury (TBI). This can help to identify a patient at greater risk of mortality. The authors are from Hamburg-Eppendorf University Medical Center, University of Witten/Herdecke, and Cologne-Merheim Medical Center in Germany.


Patient selection: traumatic brain injury

 

Parameters:

(1) pupil reactivity

(2) pupil size bilateral

(3) motor response to pain (based on GCS motor response)

 

Parameter

Finding

Points

pupil reactivity

brisk

0

 

sluggish

1

 

fixed

3

pupil size

normal

0

 

anisocoric

1

 

bilaterally dilated

2

motor response

normal

0

 

specific (localizes or withdraws)

1

 

nonspecific (abnormal flexion or extension)

2

 

none

3

 

total score =

= SUM(points for all of the parameters)

 

Interpretation:

• minimum score: 0

• maximum score: 8

• The higher the score the greater the morality.

 

Total Score

In-Hospital Mortality

0

4.4%

1

11%

2

15%

3

20%

4

32%

5

41%

6

54%

7

65%

8

86%

 

Performance:

• The area under the ROC curve is 0.824.


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