Table 2. Predictive capability of each score individually compared to the lowest scoring grade.
Complication | Score | Scoring Strata | OR | 95% CI | P-value |
---|---|---|---|---|---|
Pneumonia | EAC | High Risk | 1.1 | 0.8–1.5 | 0.74 |
mCGS | Unstable | 0.9 | 0.7–1.1 | 0.31 | |
Borderline | 0.7 | 0.5–1.0 | 0.06 | ||
In Extremis | 0.4 | 0.1–2.0 | 0.29 | ||
CGS | Unstable | 0.9 | 0.7–1.2 | 0.48 | |
Borderline | 0.8 | 0.6–1.0 | 0.09 | ||
In Extremis | 0.6 | 0.2–1.6 | 0.31 | ||
PTGS | Unstable | 1.5 | 1.1–1.9 | 0.01 | |
Borderline | 1.3 | 0.6–2.8 | 0.48 | ||
Sepsis | EAC | High Risk | 1.1 | 0.8–1.5 | 0.50 |
mCGS | Unstable | 0.9 | 0.7–1.2 | 0.42 | |
Borderline | 0.9 | 0.7–1.3 | 0.62 | ||
In Extremis | 0.3 | 0.0–2.2 | 0.23 | ||
CGS | Unstable | 1.0 | 0.8–1.3 | 0.87 | |
Borderline | 1.0 | 0.7–1.3 | 0.91 | ||
In Extremis | 0.7 | 0.2–1.9 | 0.47 | ||
PTGS | Unstable | 1.5 | 1.2–2.0 | 0.00 | |
Borderline | 1.8 | 0.9–3.6 | 0.09 | ||
Death from MOF | |||||
EAC | High Risk | 2.1 | 1.0–4.1 | 0.04 | |
mCGS | Unstable | 0.7 | 0.4–1.4 | 0.33 | |
Borderline | 0.5 | 0.2–1.5 | 0.24 | ||
In Extremis | 5.6 | 1.2–25.8 | 0.03 | ||
CGS | Unstable | 0.5 | 0.3–1.0 | 0.04 | |
Borderline | 0.3 | 0.1–0.8 | 0.02 | ||
In Extremis | 2.9 | 0.8–10.1 | 0.09 | ||
PTGS | Unstable | 2.2 | 1.2–4.1 | 0.02 | |
Borderline | 4.2 | 1.2–14.2 | 0.02 | ||
Death within 72 hours | EAC | High Risk | 1.5 | 1.4–1.6 | <0.001 |
mCGS | Unstable | 1.1 | 1.0–1.1 | 0.001 | |
Borderline | 1.2 | 1.1–1.2 | <0.001 | ||
In Extremis | 1.4 | 1.2–1.7 | <0.001 | ||
CGS | Unstable | 1.0 | 1.0–1.1 | 0.021 | |
Borderline | 1.2 | 1.1–1.2 | <0.001 | ||
In Extremis | 1.4 | 1.2–1.6 | <0.001 | ||
PTGS | Unstable | 1.1 | 1.1–1.2 | <0.001 | |
Borderline | 1.3 | 1.2–1.5 | <0.001 |
Odds Ratio (OR) are in referenced to low risk (in case of EAC) and to stable (all other scores) patients within each score. With increase instability, the risk of death within 72 hours increases significantly. This leads to patients, that initially were stratified to as borderline, or in extremis that die prior to the development of late complications (Pneumonia, Sepsis, or death due to MOF)
EAC = Early Appropriate Care
(m)CGS = (modified) Clinical Grading System
PTGS = Polytrauma Grading Score