Risk Score of Correia dos Reis et al for Extubation Failure in a Patient with Traumatic Brain Injury (TBI)

Description

Correia dos Reis et al reported a simple score for predicting extubation failure for a patient with traumatic brain injury (TBI). This can identify a patient who may benefit from more aggressive management. The authors are from Universidade Federal da Bahia, Hospital Geral do Estado da Bahia and Escola Bahiana de Medicina e Saude Publica in Brazil.

Patient selection: intubated patient with traumatic brain injury

Parameters:

(1) sex

(2) best motor score from the Glasgow Coma Score (GCS), from 1 to 6

(3) secretion volume

(4) cough

(5) mechanical ventilation time

Parameter	Finding	Points
sex	male	0
	female	4
motor score GCS	6 (obeys commands)	0
	<= 5	4
secretion volume	small	0
	moderate or large	4
cough	moderate or strong	0
	absent or weak	3
mechanical ventilation time	< 10 days	0
	>= 10 days	2

total score =

= SUM(points for all 5 parameters)

Interpretation:

• minimum score: 0

• maximum score: 17

• The higher the score the greater the risk of extubation failure.

Score	Risk Group	Extubation Failure Rate
0 to 3	low	3.5%
4 to 7	moderate	21%
8 to 17	high	43%

Performance:

• The area under the ROC curve is 0.81.

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Risk Score of Correia dos Reis et al for Extubation Failure in a Patient with Traumatic Brain Injury (TBI)

Description

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