지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.1
- 수록면
- 352 - 358 (7page)
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초록· 키워드
오류제보하기
Purpose: Base deficit (BD) is superior to vital signs in predicting trauma outcomes in adults. The authors aimed to compare BDand vital signs as criteria for the four-tiered hemorrhagic shock classification in children with trauma. Materials and Methods: We retrospectively reviewed the data of 1046 injured children who visited a Korean academic hospitalfrom 2010 through 2018. These children were classified separately based on BD (class I, BD ≤2.0 mmol/L; II, 2.1?6.0 mmol/L; III,6.1?10 mmol/L; and IV, ≥10.1 mmol/L) and vital signs (<13 years: age-adjusted hypotension and tachycardia, and Glasgow ComaScale; 13?17 years: the 2012 Advanced Trauma Life Support classification). The two methods were compared on a class-by-classbasis regarding the outcomes: mortality, early transfusion (overall and massive), and early surgical interventions for the torso ormajor vessels. Results: In total, 603 children were enrolled, of whom 6.6% died. With the worsening of BD and vital signs, the outcome rates increasedstepwise (most p<0.001; only between surgical interventions and vital signs, p=0.035). Mortality more commonly occurredin BD-based class IV than in vital signs-based class IV (58.8% vs. 32.7%, p=0.008). Early transfusion was more commonly performedin BD-based class III than in vital signs-based class III (overall, 73.8% vs. 53.7%, p=0.007; massive, 37.5% vs. 15.8%, p=0.001). No significantdifferences were found in the rates of early surgical interventions between the two methods. Conclusion: BD can be a better predictor of outcomes than vital signs in children with severe hemorrhagic shock.
목차
등록된 정보가 없습니다.
참고문헌 (27)
참고문헌 신청
Mutschler M / 2013 / Renaissance of base deficit for the initial assessment of trauma patients : a base deficit-based classification for hypovolemic shock developed on data from 16, 305 patients derived from the TraumaRegister DGU® / Crit Care 17:R42
American College of Surgeons’ Committee on Trauma / 2018 / Shock. Advanced Trauma Life Support®student course manual / American College of Surgeons :42~61
American College of Surgeons’ Committee on Trauma / 2018 / Pediatric trauma. Advanced Trauma Life Support®student course manual / American College of Surgeons :186~212
Kincaid EH / 2001 / Admission base deficit in pediatric trauma : a study using the National Trauma Data Bank / J Trauma 51:332~335
Randolph LC / 2002 / Resuscitation in the pediatric trauma population : admission base deficit remains an important prognostic indicator / J Trauma 53:838~842
American College of Surgeons’ Committee on Trauma / 2018 / Shock. Advanced Trauma Life Support®student course manual / American College of Surgeons :42~61
American College of Surgeons’ Committee on Trauma / 2018 / Pediatric trauma. Advanced Trauma Life Support®student course manual / American College of Surgeons :186~212
Kincaid EH / 2001 / Admission base deficit in pediatric trauma : a study using the National Trauma Data Bank / J Trauma 51:332~335
Randolph LC / 2002 / Resuscitation in the pediatric trauma population : admission base deficit remains an important prognostic indicator / J Trauma 53:838~842
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