Venous glucose, serum lactate and base deficit as biochemical predictors of mortality in patients with polytrauma

SAAD, Sameh; ELLABBAN, Gouda; ELKAMASH, Soliman; MOGHAZY, Amr; MOHAMED, Naglaa

Venous glucose, serum lactate and base deficit as biochemical predictors of mortality in patients with polytrauma

Sameh SAAD, (Department of Emergency Medicine, Suez Canal University Faculty of Medicine, Ismailia, Egypt)

Naglaa MOHAMED, (Department of Emergency Medicine, Suez Canal University Faculty of Medicine, Ismailia, Egypt)

Amr MOGHAZY, (Department of General Surgery, Suez Canal University Faculty of Medicine, Ismailia, Egypt)

Gouda ELLABBAN, (Department of General Surgery, Suez Canal University Faculty of Medicine, Ismailia, Egypt)

Soliman ELKAMASH (Department of General Surgery, Suez Canal University Faculty of Medicine, Ismailia, Egypt)

Ulusal Travma ve Acil Cerrahi Dergisi

2 0

Yıl: 2016 Cilt: 22 Sayı: 1 Sayfa Aralığı: 29 - 33 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Venous glucose, serum lactate and base deficit as biochemical predictors of mortality in patients with polytrauma

Öz:

AMAÇ: Travma ve yaralanma şiddeti skoru (TRISS) ve Akut Fizyoloji ve Kronik Sağlık Değerlendirmesi IV (APACHE IV) kesin olmakla birlikte kar-maşıktır. Bu çalışmanın amacı, TRISS ve APACHE IV'e karşın çoklu travması olan hastalarda mortaliteyi öngörmek amacıyla basit parametreler olan venöz glukozu, serum laktat seviyelerini ve baz açığını karşılaştırmaktı.GEREÇ VE YÖNTEM: Acil Servis Bölümü'ne başvuran 282 çoklu travmalı hastanın karşılaştırmalı bir enine kesit çalışması yürütüldü.BULGULAR: Çoklu travmalı hastalar içerisinde mortalite tahmininde TRISS muhtemel sağ kalım skoru için en iyi kesim değeri <=90'dır. %95 GA'da ve kesim değeri 99'da APACHE IV %67 sensitivite ve %95 spesifite göstermiştir. %89 sensitivite ve %49 spesifite ile random kan şekeri için en iyi kesim değeri >140 mg/dl idi. %64 sensitivite ve %93 spesifite ile baz açığının en iyi kesim değeri -5.6 idi. %92 sensitivite ve %42 spesifite ile laktat için en iyi kesim değeri >2.6 mmol/L idi.TARTIŞMA: Çoklu-travmalı hastalarda venöz glukoz, serum laktat ve baz açığı kolay ve hızlı biyokimyasal mortalite prediktörleridir. Mortaliteyi öngörmek için bu prediktörler de TRISS ve APACHE IV gibi kullanılabilir.

Anahtar Kelime:

Konular: Cerrahi

Çoklu travmalı hastalarda biyokimyasal mortalite prediktörü olarak venöz glukoz,serum laktat ve baz açığı

Öz:

BACKGROUND: The trauma and injury severity score (TRISS) and Acute Physiology and Chronic Health Evaluation IV (APACHE IV) are accurate but complex. This study aimed to compare venous glucose, levels of serum lactate, and base deficit in polytraumatized patients as simple parameters to predict the mortality in these patients versus (TRISS) and (APACHE IV).METHODS: This was a comparative cross-sectional study of 282 patients with polytrauma presented to the Emergency Department (ED). RESULTS: The best cut off value of TRISS probability of survival score for prediction of mortality among poly-traumatized patients was <=90. APACHE IV demonstrated 67% sensitivity and 95% specificity at 95% CI at cut off point 99. The best cutoff value of Random Blood Sugar was >140 mg/dl, with 89% sensitivity, 49% specificity; base deficit was less than -5.6 with 64% sensitivity, 93% specificity; lactate was >2.6 mmol/L with 92%, sensitivity, 42% specificity.CONCLUSION: Venous glucose, serum lactate and base deficit are easy and rapid biochemical predictors of mortality in patients with polytrauma. These predictors could be used as TRISS and APACHE IV in predicting mortality

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	SAAD S, MOHAMED N, MOGHAZY A, ELLABBAN G, ELKAMASH S (2016). Venous glucose, serum lactate and base deficit as biochemical predictors of mortality in patients with polytrauma. , 29 - 33.
Chicago	SAAD Sameh,MOHAMED Naglaa,MOGHAZY Amr,ELLABBAN Gouda,ELKAMASH Soliman Venous glucose, serum lactate and base deficit as biochemical predictors of mortality in patients with polytrauma. (2016): 29 - 33.
MLA	SAAD Sameh,MOHAMED Naglaa,MOGHAZY Amr,ELLABBAN Gouda,ELKAMASH Soliman Venous glucose, serum lactate and base deficit as biochemical predictors of mortality in patients with polytrauma. , 2016, ss.29 - 33.
AMA	SAAD S,MOHAMED N,MOGHAZY A,ELLABBAN G,ELKAMASH S Venous glucose, serum lactate and base deficit as biochemical predictors of mortality in patients with polytrauma. . 2016; 29 - 33.
Vancouver	SAAD S,MOHAMED N,MOGHAZY A,ELLABBAN G,ELKAMASH S Venous glucose, serum lactate and base deficit as biochemical predictors of mortality in patients with polytrauma. . 2016; 29 - 33.
IEEE	SAAD S,MOHAMED N,MOGHAZY A,ELLABBAN G,ELKAMASH S "Venous glucose, serum lactate and base deficit as biochemical predictors of mortality in patients with polytrauma." , ss.29 - 33, 2016.
ISNAD	SAAD, Sameh vd. "Venous glucose, serum lactate and base deficit as biochemical predictors of mortality in patients with polytrauma". (2016), 29-33.

APA	SAAD S, MOHAMED N, MOGHAZY A, ELLABBAN G, ELKAMASH S (2016). Venous glucose, serum lactate and base deficit as biochemical predictors of mortality in patients with polytrauma. Ulusal Travma ve Acil Cerrahi Dergisi, 22(1), 29 - 33.
Chicago	SAAD Sameh,MOHAMED Naglaa,MOGHAZY Amr,ELLABBAN Gouda,ELKAMASH Soliman Venous glucose, serum lactate and base deficit as biochemical predictors of mortality in patients with polytrauma. Ulusal Travma ve Acil Cerrahi Dergisi 22, no.1 (2016): 29 - 33.
MLA	SAAD Sameh,MOHAMED Naglaa,MOGHAZY Amr,ELLABBAN Gouda,ELKAMASH Soliman Venous glucose, serum lactate and base deficit as biochemical predictors of mortality in patients with polytrauma. Ulusal Travma ve Acil Cerrahi Dergisi, vol.22, no.1, 2016, ss.29 - 33.
AMA	SAAD S,MOHAMED N,MOGHAZY A,ELLABBAN G,ELKAMASH S Venous glucose, serum lactate and base deficit as biochemical predictors of mortality in patients with polytrauma. Ulusal Travma ve Acil Cerrahi Dergisi. 2016; 22(1): 29 - 33.
Vancouver	SAAD S,MOHAMED N,MOGHAZY A,ELLABBAN G,ELKAMASH S Venous glucose, serum lactate and base deficit as biochemical predictors of mortality in patients with polytrauma. Ulusal Travma ve Acil Cerrahi Dergisi. 2016; 22(1): 29 - 33.
IEEE	SAAD S,MOHAMED N,MOGHAZY A,ELLABBAN G,ELKAMASH S "Venous glucose, serum lactate and base deficit as biochemical predictors of mortality in patients with polytrauma." Ulusal Travma ve Acil Cerrahi Dergisi, 22, ss.29 - 33, 2016.
ISNAD	SAAD, Sameh vd. "Venous glucose, serum lactate and base deficit as biochemical predictors of mortality in patients with polytrauma". Ulusal Travma ve Acil Cerrahi Dergisi 22/1 (2016), 29-33.