Prehospital Volume Therapy as an Independent Risk Factor after Trauma
Joint Authors
Hussmann, B.
Lendemans, S.
Keitel, Judith
Heuer, Matthias
Lefering, Rolf
Touma, Alexander
Schoeneberg, Carsten
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-04-09
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Background.
Prehospital volume therapy remains widely used after trauma, while evidence regarding its disadvantages is growing.
The primary objective of this study was to investigate the volume administered in a prehospital setting as an independent risk factor for mortality.
Material and Methods.
Patients who met the following criteria were analyzed retrospectively: Injury Severity Score = 16, primary admission (between 2002 and 2010), and age = 16 years.
The following data had to be available: volume administered (including packed red cells), blood pressure, Glasgow Coma Scale, therapeutic measures, and laboratory results.
Following a univariate analysis, independent risk factors for mortality after trauma were investigated using a multivariate regression analysis.
Results.
A collective of 7,641 patients met the inclusion criteria, showing that increasing volumes administered in a prehospital setting were an independent risk factor for mortality (odds ratio: 1.34).
This tendency was even more pronounced in patients without severe traumatic brain injury (TBI) (odds ratio: 2.71), while the opposite tendency was observed in patients with TBI.
Conclusions.
Prehospital volume therapy in patients without severe TBI represents an independent risk factor for mortality.
In such cases, respiratory and circulatory conditions should be stabilized during permissive hypotension, and patient transfer should not be delayed.
American Psychological Association (APA)
Hussmann, B.& Heuer, Matthias& Lefering, Rolf& Touma, Alexander& Schoeneberg, Carsten& Keitel, Judith…[et al.]. 2015. Prehospital Volume Therapy as an Independent Risk Factor after Trauma. BioMed Research International،Vol. 2015, no. 2015, pp.1-9.
https://search.emarefa.net/detail/BIM-1055166
Modern Language Association (MLA)
Hussmann, B.…[et al.]. Prehospital Volume Therapy as an Independent Risk Factor after Trauma. BioMed Research International No. 2015 (2015), pp.1-9.
https://search.emarefa.net/detail/BIM-1055166
American Medical Association (AMA)
Hussmann, B.& Heuer, Matthias& Lefering, Rolf& Touma, Alexander& Schoeneberg, Carsten& Keitel, Judith…[et al.]. Prehospital Volume Therapy as an Independent Risk Factor after Trauma. BioMed Research International. 2015. Vol. 2015, no. 2015, pp.1-9.
https://search.emarefa.net/detail/BIM-1055166
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1055166