Developing a simplified clinical prediction score for mortality in patients with cerebral gunshot wounds: The Maritzburg Score
| Autor: | Benn Sartorius, Grant L. Laing, Jocinta Odendaal, Damian L. Clarke, T Esterhuizen, Victor Y. Kong, John L. Bruce |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Poison control Sensitivity and Specificity Decision Support Techniques Young Adult 03 medical and health sciences 0302 clinical medicine Internal medicine medicine Head Injuries Penetrating Humans Glasgow Coma Scale In patient Trauma and Orthopaedic Surgery Retrospective Studies Prediction score Receiver operating characteristic business.industry Retrospective cohort study General Medicine Odds ratio medicine.disease Confidence interval Surgery ROC Curve 030220 oncology & carcinogenesis Female Wounds Gunshot Gunshot wound business 030217 neurology & neurosurgery |
| Zdroj: | The Annals of The Royal College of Surgeons of England. 100:97-100 |
| ISSN: | 1478-7083 0035-8843 |
| DOI: | 10.1308/rcsann.2017.0141 |
| Popis: | Introduction Cerebral gunshot wounds are highly lethal and literature on the clinical scores for mortality prediction is limited. Materials and methods A retrospective study was undertaken over a 5-year period at the Pietermaritzburg Metropolitan Trauma Service in South Africa. A simplified clinical prediction score was developed based on clinical and/or physiological variables readily available in the resuscitation room. Results A total of 102 patients were included; 92% (94/102) were male and the mean age was 29 years; 22% (22/102) died during the admission. The presence of visible brain matter (odds ratio 12.4, P = 0.003) and motor score less than 5 (odds ratio 89.6, P Conclusions The presence of visible brain matter, together with a motor score of less than 5, allows accurate identification of non-survivors of cerebral gunshot wounds. Further study is required to validate this score. |
| Databáze: | OpenAIRE |
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