Table 3.
Performance of single criteria
| Criterion | Total (n) | ISS > 15 (n) | PPV (%) | 95% CI |
|---|---|---|---|---|
| 1 Physiology | ||||
| 1.1 RR < 10 or > 29/min or need for ventilatory support | 256 | 111 | 43.4 | 37.3–49.4 |
| 1.2 Oxygen saturation (SpO2) < 90% without O2 | 50 | 15 | 30.0 | 17.3–42.7 |
| 1.3 Heart rate > 130/min | 44 | 8 | 18.2 | 6.8–29.6 |
| 1.4 Systolic BP < 90 | 54 | 16 | 29.6 | 17.5–41.8 |
| 1.5 GCS < 14 | 259 | 55 | 21.2 | 16.3–26.2 |
| 1.6 Severe hypothermia without normal circulation | 1 | 1 | 100 | - |
| 2 Anatomical injury | ||||
| 2.1 Facial trauma with threatened airway | 6 | 2 | 33.3 | 0-71.1 |
| 2.2 Cranial fracture | 8 | 4 | 50.0 | 15.4–84.6 |
| 2.3 Penetrating injury to head, neck, torso and extremities proximal to elbow/knee | 58 | 4 | 6.9 | 3.8–13.4 |
| 2.4 Severe pain in thorax (suspicion of rib fractures) | 227 | 43 | 18.9 | 13.8–24.1 |
| 2.5 Massive haemorrhage | 9 | 0 | 0 | - |
| 2.6 Crush injury | 1 | 0 | 0 | - |
| 2.7 Two or more fractures in long bones | 14 | 5 | 35.7 | 10.6–60.8 |
| 2.8 Severe pain in pelvic region (suspicion of pelvic fracture) | 85 | 13 | 15.3 | 7.6–22.9 |
| 2.9 Suspicion of spinal cord injury | 45 | 17 | 37.8 | 23.6–51.9 |
| 2.10 Injury in two body sections (head/neck/thorax/abdomen/pelvis/spinal cord/femur) | 327 | 34 | 10.4 | 7.1–13.7 |
| 2.11 Burn injury, second or third degree > 15% body surface (children > 10%) or inhalation injury | 25 | 3 | 12.0 | 0-24.7 |
| 3 Mechanism of injury | ||||
| 3.1 Vehicle crash > 50 km/h without use of seat belt or triggered airbag | 68 | 1 | 1.5 | 0-4.3 |
| 3.2 Vehicle crash where car has rolled over | 68 | 0 | 0 | - |
| 3.3 Vehicle crash, person trapped | 9 | 0 | 0 | - |
| 3.4 Vehicle crash, ejection from automobile | 1 | 0 | 0 | - |
| 3.5 Auto vs. pedestrian/bicyclist | 111 | 1 | 0.9 | 0-2.7 |
| 3.6 Fall from height >5 m for adults and >3 m for children | 76 | 7 | 9.2 | 2.7–15.7 |
| 4 Patient factors | ||||
| 4.1 Age > 60 years | 146 | 24 | 16.4 | 10.4–22.5 |
| 4.2 Age < 5 years | 26 | 1 | 3.8 | 0-11.2 |
| 4.3 Severe disease (kidney/heart/lung) | 3 | 0 | 0 | - |
| 4.4 Pregnant patient > week 20 | 5 | 0 | 0 | - |
| 4.5 Anticoagulants | 5 | 2 | 40.0 | 0–83.0 |
| 4.6 Under the influence of drugs/alcohol | 71 | 6 | 8.5 | 2.0-14.9 |