Shirasihi et al reported the Trauma Rating Index in Age, Glasgow Coma Scale, Respiratory rate and Systolic blood pressure (TRIAGES) score for patients with trauma. This can help to identify a patient who may benefit from more aggressive management. The authors are from Kameda Medical Center, Tokyo Medical and Dental University, London School of Hygiene & Tropical Medicine, and the University of Tokyo.
Patient selection: trauma, >= 16 years
Parameters:
(1) age in years
(2) Glasgow Coma Scale
(3) respiratory rate in breaths per minute
(4) systolic blood pressure in mm Hg
Parameter
Finding
Points
age in years
16 to 54
0
55 to 74
1
>= 75
2
Glasgow coma scale
3
6
4
5
5 to 7
4
8 to 11
3
12 or 13
2
14
1
15
0
respiratory rate
0 to 3
2
4 to 11
1
12 to 27
0
>= 28
1
systolic blood pressure
0 to 49
4
50 to 79
2
80 to 99
1
100 to 199
0
>= 200
1
total score =
= SUM(points for all 4 parameters)
Interpretation:
• minimum score: 0
• maximum score: 14
• The higher the score the more serious the trauma.
Performance:
• The area under the ROC curve is 0.93.
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