Prehospital ABC Score Accurately Forecasts Patients Who Will Require Immediate Resource Utilization
| Autor: | Bryan A. Cotton, Kyle J. Kalkwarf, Charles E. Wade, Gregory M. Press, Michael D. Goodman |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Logistic regression Sensitivity and Specificity Laparotomy Clinical Decision Rules Post-hoc analysis medicine Focused assessment with sonography for trauma Humans Blood Transfusion Prospective Studies Prospective cohort study Aged Aged 80 and over Trauma Severity Indices Receiver operating characteristic business.industry General Medicine Odds ratio Middle Aged medicine.disease Logistic Models ROC Curve Emergency medicine Wounds and Injuries Female Triage business Penetrating trauma Facilities and Services Utilization Focused Assessment with Sonography for Trauma |
| Zdroj: | Southern medical journal. 114(4) |
| ISSN: | 1541-8243 |
| Popis: | OBJECTIVES Scoring systems, such as the Assessment of Blood Consumption (ABC) Score, are used to identify patients at risk for massive transfusion (MT, ≥10 U red blood cells in 24 hours). Our aeromedical transport helicopter uses ultrasound to perform the Focused Assessment with Sonography for Trauma (FAST) examination. Our objective was to evaluate the ability of the Prehospital ABC (PhABC) Score to predict blood transfusions and the need for emergent laparotomy. METHODS Post hoc analysis of a prospective observational study of trauma patients who underwent an in-flight FAST during aeromedical transport during a 7-month period. PhABC Score was positive if ≥2 of the following were present in flight: penetrating trauma, heart rate >120 bpm, systolic blood pressure |
| Databáze: | OpenAIRE |
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