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Table 2 Performance of bleeding scores

From: Early identification of bleeding in trauma patients: external validation of traumatic bleeding scores in the Swiss Trauma Registry

 

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)

  1. *P < 0.001 (compare to the highest score below); **P < 0.01
  2. 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
  3. 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
  4. cABC score was estimated without ultrasonography (FAST) as ultrasonography is not available in routine in the prehospital setting
  5. dTASH score in the prehospital setting is not feasible as biological assay and imaging are not available