Table 2.
Performance of bleeding scores
| Overall | Discrimination C-statistic (95% CI) | Calibration | |||||||
|---|---|---|---|---|---|---|---|---|---|
| Brier score | For early death (within 24 h) | For massive transfusion (3 RBC/1 h) | For massive transfusion (10 RBC/24 h) | Outcome observed % (95% CI)a | Outcome predicted % (95% CI)a | P value | Calibration intercept (95% CI) | Calibration slope (95% CI) | |
| Prehospital | |||||||||
| BATT score | 0.036 | 0.86 (0.84–0.87)* | 0.75 (0.73–0.78)* | 0.87 (0.84–0.90) | 4.0 (3.6–4.3) | 2.1 (2.0–2.2) | < 0.001 | 0.008 (0.005–0.012) | 1.48 (1.40–1.56) | 
| Shock Index b | – | 0.53 (0.50–0.56) | 0.71 (0.68–0.73) | 0.84 (0.80–0.88) | – | – | – | – | |
| ABC score b,c | – | 0.63 (0.60–0.65) | 0.66 (0.64–0.69) | 0.82 (0.77–0.86) | – | – | – | – | |
| TASH scored | – | – | – | – | – | – | – | ||
| In-Hospital | |||||||||
| BATT score | 0.034 | 0.87 (0.86–0.88)* | 0.77 (0.75–0.79) | 0.89 (0.86–0.91) | 4.0 (3.6–4.3) | 2.7 (2.6–2.8) | < 0.001 | 0.005 (0.001–0.008) | 1.31 (1.24–1.37) | 
| Shock Index b | – | 0.61 (0.58–0.64) | 0.74 (0.72–0.77) | 0.89 (0.86–0.92) | – | – | – | – | |
| ABC score b | – | 0.66 (0.63–0.68) | 0.70 (0.67–0.72) | 0.84 (0.80–0.87) | – | – | – | – | |
| TASH score | 0.060 | 0.74 (0.72–0.76) | 0.80 (0.78–0.82)** | 0.94 (0.92–0.95)* | 4.0 (3.6–4.3) | 6.1 (5.8–6.5) | < 0.001 | 0.011 (0.008 -0.015) | 0.46 (0.44–0.48) | 
*P < 0.001 (compare to the highest score below); **P < 0.01
aBATT score predicted death from bleeding compared to early death within 24 h; TASH score predicted massive transfusion (≥ 10 RBC/24 h) compared to ≥ 3 RBC within the first hour
bThe Brier score, calibration in the large, calibration intercept and calibration slope cannot be estimated as SI and ABC score does not estimate a probability of massive transfusion, early death, or death from bleeding
cABC score was estimated without ultrasonography (FAST) as ultrasonography is not available in routine in the prehospital setting
dTASH score in the prehospital setting is not feasible as biological assay and imaging are not available