Pancreas Injury Mortality Score (PIMS) of Krige et al

Description

Krige et al developed the pancreatic injury mortality score (PIMS) to evaluate patients with significant pancreatic injury. This can help to identify a patient who may require more aggressive management. The authors are from Groote Schuur Hospital in Cape Town, South Africa.

Patient selection: pancreatic injury

Outcome: mortality

Parameters:

(1) age in years

(2) shock

(3) major vascular injury

(4) number of associated abdominal injuries

(5) American Association for the Study of Trauma (AAST) pancreatic injury scale

Parameter	Finding	Points
age in years	<= 55 years	0
	> 55 years	5
shock	no	0
	yes	5
major vascular injury	no	0
	yes	2
number of associated abdominal injuries	0	0
	1	1
	2	2
	>= 3	3
AAST pancreatic injury	I	1
	II	2
	III	3
	IV	4
	V	5

total score =

= SUM(points for all 5 parameters)

Interpretation:

• minimum score: 0

• maximum score: 20

• The higher the score the greater the risk of mortality.

PIMS	Mortality Risk	Percent
0 or 4	low	< 1%
5 to 9	medium	14 to 17%
10 to 20	high	48 to 51%

Performance:

• The area under the ROC curve was 0.84 in the derivation set and 0.91 in the validate set.

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Pancreas Injury Mortality Score (PIMS) of Krige et al

Description

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