Model of Miller et al for Predicting Acute Respiratory Distress Syndrome (ARDS) in a Patient with Blunt Trauma

Description

Miller et al developed a model for predicting acute respiratory distress syndrome (ARDS) in an adult after blunt trauma. This can help to identify a patient who may benefit from more aggressive management. The authors are from the University of Tennessee and Wake Forest University.

Patient selection: blunt trauma

Parameters:

(1) Injury Severity Score (ISS)

(2) pulmonary contusion

(3) systolic blood pressure on admission

(4) 24 hour blood transfusion in units of red blood cells

(5) age in years

Parameter	Finding	Points
ISS	<= 25	0
	> 25	1.38
pulmonary contusion	no	0
	yes	1.06
systolic blood pressure	>= 90 mm Hg	0
	< 90 mm Hg	0.87
24 hour blood transfusion	<= 10 units	0
	> 10 units	0.83
age in years	<= 65 years	0
	> 65 years	0.78

X =

= SUM(points for all 5 parameters) - 4.5

risk of ARDS =

= 1 / (1 + EXP((-1) *X))

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Model of Miller et al for Predicting Acute Respiratory Distress Syndrome (ARDS) in a Patient with Blunt Trauma

Description

Specialty