Description

The risk of developing multiple organ failure after serious injury can be predicted based on the presence of certain risk factors.


 

Risk factors associated with multiple organ failure after serious injury:

(1) age > 55 years

(2) Injury Severity Score >= 25

(3) more than 6 units of packed RBCs used in the first 12 hours after admission to the hospital

(4) base deficit > 8 mEq/L during first 12 hours after admission

(5) serum lactate > 2.5 mmol/L at 12-24 hours after admission

 

Conditional Probability for Multiple Organ Failure

 

conditional probability for multiple organ failure =

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

 

Based on age, ISS and blood usage:

 

z = -3.6450 + (1.3992 if age > 55, else 0) + (1.3936 if ISS >= 25, else 0) + (2.1534 if blood usage > 6 units, else 0)

 

Based on age, blood usage and base deficit

 

z = -3.1265 + (1.6191 if age > 55, else 0) + (1.9794 if blood usage > 6 units, else 0) + (1.0795 if base deficit > 8 mEq/L, else 0)

 

Based on blood usage, base deficit and serum lactate

 

z = -3.8026 + (1.5902 if blood usage > 6 units, else 0) + (1.5296 if base deficit > 8 mEq/L, else 0) + (1.6591 if lactate > 2.5 mmol/L, else 0)

 


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