Trauma Mortality Risk Score | Medical Algorithm

Description

Thompson et al developed the Mortality Risk Score for Trauma (MoRT) to identify significant comorbid conditions in a trauma patient. The authors are from the University of Washington, St. Michael's Hospital (Ontario) and the Johns Hopkins University.

Patient selection: trauma

Outcome: in-hospital mortality (mortality at hospital discharge) and at 1-year post-injury

Parameters:

(1) liver disease

(2) myocardial infarction

(3) cerebrovascular disease

(4) cardiac arrhythmias

(5) dementia

(6) depression

Parameters	Finding	Points
liver disease	severe	5
	other	0
myocardial infarction	no	0
	yes	3
cerebrovascular disease	no	0
	yes	2
cardiac arrhythmias	no	0
	yes	2
dementia	no	0
	yes	2
depression	no	0
	yes	-4

total score =

= SUM(points for all 6 parameters)

Interpretation:

• minimum score: -4

• maximum score: 14

• The higher the score the greater the comorbidity.

Performance:

• The area under the ROC curve (c-statistic) was 0.56 for in-hospital mortality and 0.58 for 1-year mortality. Performance improved if age, gender and ISS were added.

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Description

Objective

ICD-10

Mortality Risk Score for Trauma (MoRT)

Purpose: To evaluate a trauma patient for comorbid conditions using the Mortality Risk Score for Trauma (MoRT) of Thompson et al.

Description

Objective

ICD-10