Les thèmes du moment

antibioprophylaxie Votre recherche Maladie thrombo-embolique polytraumatisé sdra Anti-aggrégeants transfusion sepsis Stents

Ce site respecte les principes de la charte HONcode.
Site certifié en partenariat avec la Haute Autorité de Santé (HAS).
Vérifiez ici.

Ressources et utilitaires

Scoring systems for ICU and surgical patients:

24-hour I.C.U. Trauma Score

Variables (help)	Values	Points
Neurologic (help)	no brain injury brain injury and Glasgow 13-15 brain injury and Glasgow 9-12 brain injury and Glasgow 6-8 brain injury and Glasgow 4-5 brain injury and Glasgow 3
Pulmonary	extubated intubated and PaO2/FIO2 >= 325 intubated and PaO2/FIO2 225-324 intubated and PaO2/FIO2 175-224 intubated and PaO2/FIO2 125-174 intubated and PaO2/FIO2 < 125
Cardiovascular	24 hour I.C.U. fluid balance < 3 L 24 hour I.C.U. fluid balance > = 3 L
Predicted Death Rate   Logit = (-3.900) + (0.911 * (neurologic points)) + (0.588 * (pulmonary points)) + (0.468 * (cardiovascular points)) Predicted death rate = 1/(1+e(-Logit))		24 h ICU Trauma score= Score = Sum (Points)

References

• Vassar MJ et al. Comparison of APACHE II, TRISS, and a proposed 24-hour ICU point system for prediction of outcome in ICU trauma patients. J Trauma 1992;32:490-500.
• Vassar MJ et al. Prediction of outcome in intensive care unit trauma patients: a multicenter study of Acute Physiology and Chronic Health Evaluation (APACHE), Trauma and Injury Severity Score (TRISS), and 24-hour intensive care unit (ICU) point system. J Trauma 1999;47:324-9.

<< Back to the scores page

Patients and variables

Patients excluded : burn injuries and less than 16 years of age.

Data are collected within the first 24 hours after ICU admission.

If a patient is admitted after the beginning of the shift when the 24 hour period is first recorded, it will be necessary to abstract intake and and output totals from a portion of the record from the second day.

The fluid balance component is not helpful in patients with isolated head injuries whose fluid intakes are restricted.

 Back

Eyes Open	Verbal	Motor
Spontaneous To speech To pain Absent	Converses / Oriented Converses / Disoriented Inappropriate Incomprehensible Absent	Obeys Localizes pain Withdraws (flexion) Decorticate (flexion) rigidity Decerebrate (extension) rigidity Absent

Glasgow=

For patients who are intubated, the GCS verbal points are assigned as follows :
5 points if eye + motor = 10
3 if eye + motor = 7 or 8
1 if eye + motor <= 6

Back

<< Back to the scores page