Patient selection: adult with severe trauma from 20 to 90 years of age
Pre-existing comorbid conditions:
(1) dementia
(2) cancer
(3) coronary artery disease (CAD)
(4) congestive heart failure (CHF)
(5) pulmonary disease
(6) liver disease
(7) dialysis (kidney disease)
(8) drug use
(9) alcoholism
(10) history of cardiac surgery
(11) coagulopathy
(12) diabetes mellitus
(13) neurologic condition
(14) psychiatric condition
Mortality-Associated Geriatric Complications (MGC) = complications most associated with mortality:
(1) pneumonia
(2) aspiration pneumonia
(3) compartment syndrome
(4) pulmonary embolism
(5) urinary tract infection (UTI)
(6) abscess
(7) fungemia or bacteremia
(8) deep vein thrombosis
(9) pressure ulcer
(10) empyema
(11) wound infection
(10) “failure of wound reduction”
Parameters:
(1) age
(2) number of comorbid conditions
(3) gender
The risk of complications increases as the age and number of comorbid conditions increase.
Males
|
Number of Comorbid Conditions
|
Percent with Complications
|
|
0
|
(0.001554 * ((age)^2)) + (0.1695 * (age)) + 1.377
|
|
1 or 2
|
(0.001337 * ((age)^2)) + (0.2384 * (age)) + 3.89
|
|
>= 3
|
(0.001756 * ((age)^2)) + (0.301 * (age)) + 1.073
|
Females
|
Number of Comorbid Conditions
|
Percent with Complications
|
|
0
|
(0.001673 * ((age)^2)) + (0.1357 * (age)) – 0.0863
|
|
1 or 2
|
(0.001506 * ((age)^2)) + (0.1799* (age)) + 2.77
|
|
>= 3
|
(0.002196 * ((age)^2)) + (0.2314 * (age)) + 0.1649
|
