Kairinos et al studied patients undergoing damage control laparotomy. A number of preoperative findings can help to identify a patient for whom surgery may be futile. The authors are from Groote Schuur Hospital in Cape Town.
Patient selection: trauma patient prior to damage control laparotomy
Parameters:
(1) age in years
(2) worst pre-operative arterial pH
(3) worst pre-operative body core temperature in °C
Parameter
Points
age
0.012 * (age)
pH
- (0.707 * (pH)
temperature
- 0.032 * (temperature)
score =
= SUM(points for all 3 parameters) + 6.002
Score
Outcome
>= 0.5
death
0 to 0.49
indeterminate
-0.2 to -0.01
probably survive
< - 0.2
survive
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