Tan et al reported the HeCLLiP score for evaluating a patient with trauma. This uses anatomic injuries to predict mortality. The authors are from Hospital Sultanah Aminah, Pusat Perubatan University and University Sains Islam Malaysia in Malaysia.
HeCLLiP = head, cervical spine, lung, liver and pelvic fracture
Patient selection: trauma patient in Malaysia
Parameter
Finding
Points
head trauma
no
0
yes
7
cervical spine trauma
no
0
yes
4
lung trauma
no
0
yes
2
liver trauma
no
0
yes
4
pelvic fracture
no
0
yes
5
total score =
= SUM(points for all 5 parameters)
Interpretation:
• minimum score: 0
• maximum score: 22
• A score > 2 was associated with in-hospital mortality.
Score
Mortality
2
0.06
3
0.10
4
0.12
5
0.20
6
0.20
7
0.32
8
0.33
9
0.49
10
0.48
11
0.47
12
0.63
13
0.68
14
0.74
15
0.77
from Figure 1
Performance:
• The area under the ROC curve is 0.80.
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