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A Novel Approach to Identify Polytraumatized Patients in Extremis
Joint Authors
Hajdu, Stefan
Negrin, Lukas Leopold
Heinz, Thomas
Antoni, Anna
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-04-17
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Introduction.
Due to the fact that early objective identification of polytraumatized patients in extremis is crucial for carrying out immediate life-saving measures, our objectives were to provide and scrutinize a definition that results in a particularly high mortality rate and to identify predictors of mortality in this group.
Materials and Methods.
A polytraumatized patient (ISS ≥ 16) was classified “in extremis” if five out of seven parameters (arterial paCO2 > 50 mmHg, hemoglobin < 9.5 g/dl, pH value < 7.2, lactate level > 4 mmol/l, base excess < −6 mmol/l, shock index > 1, and Horowitz index < 300) were met.
By applying this definition, polytraumatized patients (age ≥ 18 years), admitted to our level I trauma center within a time period of three years, were retrospectively allocated to the “in extremis” group and to an age-, gender-, and ISS-matched “non-in extremis” group for comparison.
Results.
Out of 64 polytraumatized patients (mean ISS, 43.6), who formed the “in extremis” group, 36 patients (56.3%) died, thus revealing a threefold higher mortality rate than in the matched group (18.9%).
Within the “in extremis” group, age and ISS were identified as predictors of mortality.
Conclusion.
Our definition might serve as a valuable early warning score or at least an impetus for defining polytraumatized patients in extremis in clinical practice.
American Psychological Association (APA)
Negrin, Lukas Leopold& Antoni, Anna& Hajdu, Stefan& Heinz, Thomas. 2018. A Novel Approach to Identify Polytraumatized Patients in Extremis. BioMed Research International،Vol. 2018, no. 2018, pp.1-7.
https://search.emarefa.net/detail/BIM-1128404
Modern Language Association (MLA)
Negrin, Lukas Leopold…[et al.]. A Novel Approach to Identify Polytraumatized Patients in Extremis. BioMed Research International No. 2018 (2018), pp.1-7.
https://search.emarefa.net/detail/BIM-1128404
American Medical Association (AMA)
Negrin, Lukas Leopold& Antoni, Anna& Hajdu, Stefan& Heinz, Thomas. A Novel Approach to Identify Polytraumatized Patients in Extremis. BioMed Research International. 2018. Vol. 2018, no. 2018, pp.1-7.
https://search.emarefa.net/detail/BIM-1128404
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1128404