Risk Factors of Ikossi et al for Fetal Loss After Trauma to a Pregnant Woman

Description

Ikossi et al identified a number of risk factors for fetal loss in a pregnant woman subjected to traumatic injury. These can help identify a fetus at risk who may benefit from more aggressive management and closer monitoring. The authors are from the University of California in San Francisco and University of Nevada in Las Vegas.

Parameters:

(1) Injury Severity Score (ISS)

(2) Glasgow coma score (GCS)

(3) adjusted injury score (AIS) for head

(4) adjusted injury score (AIS) for thorax

(5) adjusted injury score (AIS) for abdomen

(6) adjusted injury score (AIS) for lower extremity

Parameter	Finding	Points
Injury Severity Score	<= 15	0
	> 15	1
Glasgow coma score	9 to 15	0
	3 to 8	1
AIS for head	< 3	0
	>= 3	1
AIS for thorax	< 3	0
	>= 3	1
AIS for abdomen	< 3	0
	>= 3	1
AIS for lower extremity	< 3	0
	>= 3	1

where:

• The adjusted odds ratios for head AIS, thorax AIS and lower extremity AIS is around 3. The adjusted odds ratios for abdominal AIS and GCS is 5-6. The adjusted odds ratio for ISS is around 9. These could be weighted 1, 2 and 3 respectively.

total of risk factors for fetal demise =

= SUM(points for all 6 parameters)

Interpretation:

• minimum number of risk factors: 0

• maximum number: 6

• The more risk factors present the greater the risk for fetal loss.

To read more or access our algorithms and calculators, please log in or register.

Description

Specialty

ICD-10