Description

Ahmed et al evaluated trauma patients who had a cardiopulmonary arrest during the first hour after arrival at the trauma center. The authors are from Jersey Shore University Medical Center in Neptune, New Jersey.


Parameters:

(1) age in years

(2) gender

(3) race

(4) penetrating injury

(5) ISS

(6) GCS motor score

(7) EMS transport time in minutes

(8) systolic blood pressure in mm Hg

(9) pulse

(10) head injury

(11) ACS level

 

Parameter

Finding

Points

age in years

 

-0.007 * (age)

gender

female

0

 

male

0.107

race

caucasian

0.689

 

other

0

penetrating injury

no

0

 

yes

-0.463

ISS

 

-0.031 * (ISS)

GCS motor

 

0.360 * (mGCS)

EMS transport

 

0.0001 * (minutes)

systolic blood pressure

 

0.007 * (SBP)

pulse

 

-0.004 * (pulse)

head injury

no

0

 

yes

0.192

ACS level

1

0

 

2

0.683

 

3

-1.372

 

4

0

 

unranked

0.265

 

where:

• A level 4 trauma center appears to be scored 0 although outcomes should be worse than level 3. This may be because the number of level 4 centers was small.

 

value of X =

= SU(points for all of the parameters) - 2.101

 

probability of survival =

= 1 / (1 + EXP((-1) * X))

 

Performance:

• The area under the ROC curve is 0.72.


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