Trauma Induced Coagulopathy Clinical Score (TICCS) of Tonglet et al

Description

Tonglet et al developed the Trauma Induced Coagulopathy Clinical Score (TICCS) for the prehospital identification of a patient at risk for coagulopathy. The score can help to identify a patient who may benefit from more aggressive management of hemostasis. The authors are from CHR de la Citadelle in Belgium.

Patient selection: trauma victim in transport

Parameters:

(1) general severity

(2) systolic blood pressure in mm Hg

(3) sites with significant injuries (out of 8)

Parameter	Finding	Points
general severity	non-critical	0
	critical (to be admitted to resuscitation room)	2
systolic blood pressure	always above 90 mm Hg	0
	ever below 90 mm Hg	5
significant injury of head and neck	no	0
	yes	1
significant injury of left upper extremity	no	0
	yes	1
significant injury of right upper extremity	no	0
	yes	1
significant injury of left lower extremity	no	0
	yes	1
significant injury of right lower extremity	no	0
	yes	1
significant injury of torso	no	0
	yes	2
significant injury of abdomen	no	0
	yes	2
significant injury of pelvis	no	0
	yes	2

total score =

= SUM(points for all 10 parameters)

Interpretation:

• minimum score: 0

• maximum score: 18

• A score >= 10 was used to identify a patient with coagulopathy.

Performance:

• The authors claim a sensitivity of 100% and specificity of 96% with area under the ROC curve of 0.98.

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Trauma Induced Coagulopathy Clinical Score (TICCS) of Tonglet et al

Description

Specialty