Description

Pannucci et al developed a simple score for predicting the risk of venous thromboembolism in a burn patient on admission. This can help to identify a patient who may benefit from an intervention to reduce the risk of thrombosis. The authors are from the University of Michigan.


Patient selection: thermal injury

 

Outcome: venous thromboemolism (VTE)

 

Parameters:

(1) percent of body surface area with burn injury

(2) inhalation injury

 

Parameter

Finding

Points

percent BSA burned

< 5%

0

 

5 to 9%

2

 

10 to 19%

4

 

20 to 49%

5

 

50 to 65%

6

 

> 65%

5

inhalation injury

absent

0

 

present

2

 

total score =

= SUM(points for the 2 parameters)

 

Interpretation:

• minimum score: 0

• maximum score: 8

• The higher the score the greater the risk for venous thromboembolism.

 

Total Score

Percent VTE

0 to 4

< 1%

5

2%

6

3%

7

3.5%

8

5%

 

Performance:

• The area under the ROC curve ranged from 0.75 to 0.77.


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