Risk Factors of Knudson et al for Mortality in Geriatric Patients After Blunt Trauma

 

Parameters on admission:

(1) age of the patient

(2) gender of the patient

(3) total ISS (injury severity score)

(4) Trauma score (TS)

(5) systolic blood pressure

(6) respiratory rate

(7) Glasgow coma score

(8) mechanism of injury

(9) organs injured

 

Parameter	Findings Associated with Mortality
age of the patient	>= 75 years of age
gender	male
total ISS	>= 16
Trauma Score	< 7
systolic blood pressure	< 90 mm Hg
respiratory rate	< 10 breaths per minute
Glasgow coma score	GCS = 3
mechanism of injury	falls, pedestrian injury
organs injured	brain, chest and/or abdomen

 

The Trauma Score is based on:

(1) respiratory rate

(2) respiratory expansion

(3) systolic blood pressure

(4) capillary return

(5) Glasgow Coma Score (GCS)

A Trauma Score < 7 requires a low systolic blood pressure, Glasgow coma score and respiratory rate. In the implementation I will use the individual components rather than the Trauma Score.