Age-Dependent Association of Occult Hypoperfusion and Outcomes in Trauma.
作者： Gabrielle E. Hatton , Michelle K. McNutt , Bryan A. Cotton , Jessica A. Hudson , Charles E. Wade
DOI: 10.1016/J.JAMCOLLSURG.2019.12.011
关键词:
摘要: Background Occult hypoperfusion (OH), or global with normal vital signs, is a risk factor for poor outcomes in elderly trauma patients. We hypothesized that OH associated worse than shock both young and Methods conducted single-center cohort study of adult (16 years older) patients from 2016 to 2018 base excess measured on arrival. Perfusion states were defined as if heart rate was >120 beats/min systolic blood pressure 90 mmHg; all others. Patients stratified (younger 55 years) (55 older). Bayesian regression used assess the relationship between arrival perfusion state mortality serious complication. Results Of 3,126 included patients, 808 elderly. Rates (33% 31%) (25% 23%) similar respectively. higher odds complication perfusion, regardless age group. Compared shock, an ratio 1.21 (95% CI, 0.97 1.52, posterior probability 96%) 0.52 0.42 0.65, Conclusions In but not younger shock. Although parameters might need be redefined more attention necessary diagnosis treatment hypoperfused this
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