PolyTrauma Grading Score (PTGS) of Hildebrand et al

Description

Hildebrand et al reported the PolyTrauma Grading Score (PTGS) for evaluating a patient with polytrauma. This can help to identify a patient who may require more aggressive management. The authors are from Aachen University, IFOM Cologne, University of Texas Health Science Center San Antonio and Royal Bolton Foundation NHS Trust.

Patient: age > 16 years, ISS >= 16, AIS abdomen or AIS chest >= 3, treatment in ICU

Parameters:

(1) admission systolic blood pressure in mm Hg

(2) base deficit in mmol/L

(3) INR

(4) NISS

(5) number of units of packed red blood cells

(6) platelet count

Parameter	Finding	Points
systolic blood pressure	> 90 mm Hg	0
	76 to 90 mm Hg	1
	< 76 mm Hg	2
base deficit	< 8 mmol/L	0
	8 to 10 mmol/L	2
	> 10 mmol/L	4
INR	< 1.4	0
	1.4 to 2.0	1
	> 2.0	3
NISS	< 35	0
	35 to 49	3
	>= 50	4
packed RBCs	< 3 units	0
	3 to 14 units	2
	>= 15	5
platelet count	>= 150,000 per µL	0
	< 150,000 per µL	2

total score =

= SUM(points for all of the parameters)

Interpretation:

• minimum score: 0

• maximum score: 20

• The higher the score the greater the in-hospital mortality.

Total Score	Condition	In-Hospital Mortality
0 to 5	stable	2-8%
6 to 11	borderline	13 to 23%
12 to 19	unstable	48 to 88%%
20	unstable	100%

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PolyTrauma Grading Score (PTGS) of Hildebrand et al

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