ID

28161

Description

"MESS (Mangled Extremity Severity Score) is a simple rating scale for lower extremity trauma, based on skeletal/soft-tissue damage, limb ischemia, shock, and age. (...) In both the retrospective survey and the prospective trial, a MESS value greater than or equal to 7 predicted amputation with 100% accuracy. MESS may be useful in selecting trauma victims whose irretrievably injured lower extremities warrant primary amputation." Reference: Johansen K, Daimes M, Howey T, Helfet DL, Hansen ST. Objective criteria accurately predict amputation following lower extremity trauma. J Trauma. 1990;30:568–73. Source: www.traumascores.com with permission from Dr. Müller.

Link

www.traumascores.com

Keywords

  1. 12/22/17 12/22/17 -
  2. 1/26/18 1/26/18 -
  3. 4/25/18 4/25/18 - Halim Ugurlu
  4. 5/28/18 5/28/18 - Halim Ugurlu
Copyright Holder

Dragowsky K.; Müller, M.

Uploaded on

December 22, 2017

DOI

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License

Creative Commons BY-NC 3.0

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MESS (Mangled Extremitiy Severity Score)

MESS (Mangled Extremitiy Severity Score)

MESS
Description

MESS

Skeletal /soft tissue injury
Description

Skeletal /soft tissue injury

Data type

integer

Limb ischemia
Description

Score doubled for ischemia > 6 hours

Data type

integer

Shock
Description

Shock

Data type

integer

Age
Description

age

Data type

integer

Measurement units
  • years
Total score
Description

MESS Score > 7 - poor limb viability prognosis

Data type

integer

Similar models

MESS (Mangled Extremitiy Severity Score)

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
MESS
Item
Skeletal /soft tissue injury
integer
Code List
Skeletal /soft tissue injury
CL Item
Low energy (stab; simple fracture; pistol gunshot wound) (1)
CL Item
Medium energy (open or multiple fractures, dislocation) (2)
CL Item
High energy (high speed MVA or rifle GSW) (3)
CL Item
Very high energy (high speed trauma + gross contamination) (4)
Item
Limb ischemia
integer
Code List
Limb ischemia
CL Item
Pulse reduced or absent but perfusion normal (1)
CL Item
Pulseless; paresthesias, diminished capillary refill (2)
CL Item
Cool, paralyzed, insensate, numb (3)
Item
Shock
integer
Code List
Shock
CL Item
Systolic BP always > 90 mm Hg (0)
CL Item
Hypotensive transiently (1)
CL Item
Persistent Hypotension (2)
Item
Age
integer
Code List
Age
CL Item
<30 (0)
CL Item
30-50 (1)
CL Item
>50 (2)
Total score
Item
Total score
integer

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