Kunitake et al reported the Trauma Early Mortality Prediction Tool (TEMPT) for evaluating a trauma patient. The authors are from the University of California San Francisco and Denver Health Medical Center.

Patient selection: trauma, age >= 15 years


Outcome: 28-day mortality


Parameters associated with mortality in multiple logistic regression:

(1) traumatic brain injury (skull fracture, epidural hematoma, subdural hematoma, subarachnoid hemorrhage, midline shift, brain contusion, intraventricular hemorrhage, diffuse axonal injuries, intracranial hemorrhages)

(2) age >= 59.5 years

(3) base excess <= -4.35 mmol/L

(4) PTT >= 31.4 seconds

(5) INR >= 1.25

(6) body temperature <=36.25°C


Other factors from the univariate analysis that may influence the outcome:

(1) blunt trauma

(2) serum creatinine >= 1.35 mg/dL

(3) hemoglobin <= 12.75 g/dL

(4) platelet count <= 224,500 per µL

(5) systolic blood pressure > 163 mm Hg

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