Research on Trauma Indices
Abstract
The paper contains retrospective and prospective studies of trauma indices based on data from severely injured patients treated at the Maryland Institute for Emergency Medicine. In the retrospective study, the values of general trauma and organ-oriented indices were related to mortality using a logistic model which permits the inclusion of variables such as age, sex, and type of hospital admission. Also sepsis variables were statistically analyzed. The results of a prospective study of 237 patients included: a comparison of predicted average death rates and actual death rates where the predictions were based on the curves derived in the retrospective study; construction of probability of death curves for combined retrospective and prospective data sets; analysis of sepsis variables and variables of hepatic dysfunction; and several characterizations of therapy. New rationales for Patient Triage and Evaluation of Care were introduced. These indices are merely numbers which may be related to a probability of survival using current therapeutic techniques. Their purpose 'at the bedside' is to augment, not to replace, the traditional precepts of history and clinical examinations.
Document Details
- Document Type
- Technical Report
- Publication Date
- Aug 01, 1975
- Accession Number
- ADA016134
Entities
People
- Arthur V. Milholland
- Conrad L. Swann
- R. A. Cowley
- William J. Sacco
- William P. Ashman