Parkland Trauma Index of Mortality: Real-Time Predictive Model for Trauma Patients.

Journal: Journal of orthopaedic trauma
Published Date:

Abstract

OBJECTIVE: Vital signs and laboratory values are used to guide decisions to use damage control techniques in lieu of early definitive fracture fixation. Previous models attempted to predict mortality risk but have limited utility. There is a need for a dynamic model that captures evolving physiologic changes during a trauma patient's hospital course.

Authors

  • Adam J Starr
    Department of Orthopaedic Surgery, UT Southwestern Medical Center, Dallas, TX.
  • Manjula Julka
    PCCI, Dallas, TX; and.
  • Arun Nethi
    PCCI, Dallas, TX; and.
  • John D Watkins
    PCCI, Dallas, TX; and.
  • Ryan W Fairchild
    Department of Orthopaedic Surgery, UT Southwestern Medical Center, Dallas, TX.
  • Dustin Rinehart
    Department of Orthopaedic Surgery, UT Southwestern Medical Center, Dallas, TX.
  • Caroline Park
    Institute of Medical Science, University of Toronto, Toronto, Canada; Mood Disorders Psychopharmacology Unit, University Health Network, Toronto, Canada; Brain and Cognition Discovery Foundation, Toronto, Canada.
  • Ryan P Dumas
    Department of Surgery, Division, Burn, Trauma, Acute and Critical Care Surgery, Parkland Memorial Hospital/UT Southwestern Medical Center, Dallas, TX.
  • Hayden N Box
    Shoulder Service, Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center, Dallas, TX, USA.
  • Michael W Cripps
    Department of Surgery, Division, Burn, Trauma, Acute and Critical Care Surgery, Parkland Memorial Hospital/UT Southwestern Medical Center, Dallas, TX.