0 Ratings
ID

30311

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

Versions (4)
  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

May 28, 2018

DOI

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License

Creative Commons BY-NC 3.0
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    29880_MESS (Mangled Extremity Severity Score)

    English Turkish ( localization.languageCode.TR )

    MESS (Mangled Extremity Severity Score)

    1 forms  
    MESS
    Description

    MESS

    Alias
    UMLS CUI-1
    C3842224 (Crushed, degloved, or mangled extremity)
    LOINC
    LA17341-1
    UMLS CUI-2
    C0457451 (Severity score)
    SNOMED
    278305009
    Skeletal /soft tissue injury
    Description

    Skeletal /soft tissue injury

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0597457 (Skeletal injury)
    UMLS CUI [2]
    C0037578 (Soft Tissue Injuries)
    SNOMED
    282026002
    Limb ischemia
    Description

    Score doubled for ischemia > 6 hours

    Data type

    integer

    Alias
    UMLS CUI [1]
    C2945695 (Limb ischemia)
    SNOMED
    21631000119105
    Shock
    Description

    Shock

    Data type

    integer

    Alias
    UMLS CUI [1]
    C0036974 (Shock)
    SNOMED
    27942005
    LOINC
    LA7473-7
    Age
    Description

    age

    Data type

    integer

    Measurement units
    • years
    Alias
    UMLS CUI [1]
    C0001779 (Age)
    SNOMED
    424144002
    LOINC
    LP28815-6
    Total score
    Description

    MESS Score > 7 - poor limb viability prognosis

    Data type

    integer

    Alias
    UMLS CUI [1]
    C2964552 (Total score)
    LOINC
    LP101867-2
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    MESS (Mangled Extremity Severity Score)

    1 forms
    Name
    Type
    Description | Question | Decode (Coded Value)
    Data type
    Alias
    Item Group
    MESS
    C3842224 (UMLS CUI-1)
    C0457451 (UMLS CUI-2)
    Item
    Skeletal /soft tissue injury
    integer
    C0597457 (UMLS CUI [1])
    C0037578 (UMLS CUI [2])
    Skeletal /softissue injury
    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
    C2945695 (UMLS CUI [1])
    Limb ischemia
    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
    C0036974 (UMLS CUI [1])
    Shock
    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
    C0001779 (UMLS CUI [1])
    age
    Code List
    Age
    CL Item
    <30 (0)
    CL Item
    30-50 (1)
    CL Item
    >50 (2)
    Total score
    Item
    Total score
    integer
    C2964552 (UMLS CUI [1])
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