It is essential to identify patients at high risk of death and complications for future studies of interventions to decrease reperfusion injury.
We conducted an inception cohort study at a Level I trauma center to determine the rates and predictors of death, organ failure, and infection in trauma patients with systolic blood pressure <= 90 mm Hg in the field or in the emergency department.
Among the 208 patients with hemorrhagic shock (blood pressure <= 90 mm Hg), 31% died within 2 hours of emergency department arrival, 12% died between 2 and 24 hours, 11% died after 24 hours, and 46% survived.
Among those who survived = 24 hours, 39% developed infection and 24% developed organ failure.
Increasing volume of crystalloid in the first 24 hours was strongly associated with increased mortality (p=0.00001).
Hemorrhage-induced hypotension in trauma patients is predictive of high mortality (54%) and morbidity.
The requirement for large volumes of crystalloid was associated with increased mortality.
Mots-clés Pascal : Choc, Association, Traumatisme, Hémorragie, Réanimation, Pronostic, Epidémiologie, Facteur risque, Complication, Insuffisance organique multiple, Mortalité, Morbidité, Homme, Appareil circulatoire pathologie, Vaisseau sanguin pathologie
Mots-clés Pascal anglais : Shock, Association, Trauma, Hemorrhage, Resuscitation, Prognosis, Epidemiology, Risk factor, Complication, Multiple organ failure, Mortality, Morbidity, Human, Cardiovascular disease, Vascular disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0480673
Code Inist : 002B27B01. Création : 19/02/1999.