ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2025
Validation of the Oklahoma predictor model for discharge destination in patients with major traumatic injury: a cross-sectional study.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeProtracted in-patient stays affect trauma patient costs and hospital resource utilizations. Proper discharge placement stratification may help with early discharge planning in this group of patients. No standardized discharge destination prediction model exists. A scoring model has been developed after examining Oklahoma Trauma Database discharge destination predictors. This study's goal was patient data-driven model validation.
methodsLevel II trauma center patient data over three months, including comorbidities, injuries, and demographics were analyzed. We compared the scoring model discharge destination prediction with actual destinations.
resultsThe study included 459 patients, with 108 facility discharges. The scoring model demonstrated significant facility placement prediction (Scores ≤ 7: 11.94% or Negative Predictive Value of 88.1%; Score 8-14: 47.22% as Positive Predictive Value: and Score ≥ 15: 60.00%). Scoring 8-14 showed a 6.60-fold (95%CI: 4.11, 10.61) increase compared to ≤ 7. Scoring ≥ 15 was 11.07 times (95%CI: 1.79, 68.42) more likely than ≤ 7.
conclusionThe Oklahoma Trauma Discharge Predictive Scoring Model demonstrated significant facility discharge prediction and may assist with decreasing delay of anticipated patient discharge destination.
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