TRAAGIC = transfusion, age, airway, hyperglycemia, INR, creatiniine
Patient selection: adult trauma patient
Parameters:
(1) transfusion (TR)
(2) age (A)
(3) airway (A), with or without endotracheal intubation
(4) blood glucose (G) on arrival, in mmol/L
(5) INR (I)
(6) serum creatinine (C) within first 24 hours, in µmol/L
|
Parameter
|
Finding
|
Odds Ratio
|
Point
|
|
transfusion
|
none
|
1
|
0
|
|
|
any
|
1.6
|
1
|
|
age
|
<= 50 years
|
1
|
0
|
|
|
> 50 years
|
4.4
|
1
|
|
airway
|
not intubated
|
1
|
0
|
|
|
intubated
|
6.3
|
1
|
|
glucose
|
<= 11 mmol/L
|
1
|
0
|
|
|
> 11 mmol/L
|
3.2
|
1
|
|
INR
|
<= 1.3
|
1
|
0
|
|
|
> 1.3
|
2.5
|
1
|
|
creatinine
|
<= 120 µmol/L
|
1
|
0
|
|
|
> 120 µmol/L
|
1.6
|
1
|
unweighted score =
= SUM(points for all 6 parameters)
Interpretation:
• minimum unweighted score: 0
• maximum unweighted score: 6
• The higher the score the greater the risk of inpatient mortality.
|
Score
|
Mortality Rate
|
|
0
|
0.3%
|
|
1
|
5%
|
|
2
|
29%
|
|
3
|
37%
|
|
4
|
57%
|
|
5 or 6
|
93%
|
Performance:
• The area under the ROC curve for the unweighted score is 0.85.
