The presence of certain risk factors in severely traumatized children may identify those at significant for death. The study was done in Paris, France.
Parameters identified on multivariate analysis as independent mortality risk factors:
(1) pediatric trauma score
(2) Glasgow coma score
(3) injury severity scale
(4) emergency blood transfusion volume
|
Parameter |
Finding |
Points |
|
Pediatric Trauma Score (PTS) |
> 4 |
0 |
|
|
<= 4 |
1 |
|
Glasgow Coma Score (GCS) |
> 7 |
0 |
|
|
<= 7 |
1 |
|
Injury Severity Scale (ISS) |
< 25 |
0 |
|
|
>= 25 |
1 |
|
emergency blood transfusion |
< 20 mL/kg |
0 |
|
|
>= 20 mL/kg |
1 |
number of risk factors =
= SUM(points for the 4 parameters)
Interpretation:
• minimum number of risk factors: 0
• maximum number of risk factors: 4
• The presence of one or more of these risk factors identified those children at risk for death following severe trauma.
|
Number of Risk Factors |
Mortality Rate |
|
0 |
0 |
|
1 |
|
|
2 |
|
|
3 |
|
|
4 |
63% |
Specialty: Surgery, orthopedic, Emergency Medicine, Critical Care, Surgery, general, Pedatrics
ICD-10: ,
