Trauma & major bleeding

Development and validation of the tic score for early detection of traumatic coagulopathy upon hospital admission: a cohort study

Crit CarePublished Diagnostic accuracy study

Authors' conclusion

The TIC Score is quick and easy to calculate and can accurately identify patients with TIC upon hospital admission.

Study context

Population
Critically injured patients at hospital admission, three level-1 trauma centers3 sets
Participants
3,489 participants
Outcome
Score performance for prediction of TIC (PTratio > 1.2 at hospital admission)
Follow-up
Hospital admission
Methodological detailsscore development and validation, retrospective and prospective validation sets, multicentre
  • Score development and validation
  • Retrospective and prospective validation sets
  • Multicentre

Performance

As reported in the abstract

Identification of TIC
Test or modelAUCNPV (score < 2, rule-out)PPV (score ≥ 6, rule-in)
Trauma-induced coagulopathy (TIC) Score0.82 (95% CI 0.81-0.84)93%92%

Trauma-induced coagulopathy (TIC) Score

AUC0.82 (95% CI 0.81-0.84)
NPV (score < 2, rule-out)93%
PPV (score ≥ 6, rule-in)92%

Further findings

TIC prevalence · hospital admission

TIC observed
22% (95% CI 21-24%)

Original publication

Development and validation of the tic score for early detection of traumatic coagulopathy upon hospital admission: a cohort study. Crit Care. Published 18 May 2024. doi:10.1186/s13054-024-04955-7

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