Trauma Coagulopathy and Its Outcomes
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design
2.2. Inclusion and Exclusion Criteria
2.3. Study Population
2.4. Statistical Analysis
3. Results
3.1. Study Population
3.1.1. Group 1
3.1.2. Group 2
3.2. Outcomes
3.2.1. Hemotransfusion Rate
3.2.2. Hemodynamic Instability
3.2.3. Anatomical Outcomes
3.2.4. Use of Resources
3.2.5. Mortality
3.2.6. Correlation with Other Unfavorable Outcomes
4. Discussion
5. Conclusions
Author Contributions
Funding
Conflicts of Interest
References
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Physiological Criteria | Anatomical Criteria | Dynamic Criteria |
---|---|---|
Eject from the vehicle | Penetrating head/neck/throat/abdomen/pelvic/armpit/groin trauma | Systolic blood pressure <90 mmHg |
Motorcyclist thrown from the vehicle | Amputations above the wrist or ankle | Respiratory or breathlessness rate <10 or >29 acts/min |
Died in the same vehicle | Chest trauma with flap/costal volet | State of consciousness (GCS) <13 |
Intruding of the cockpit >30 cm | Neurological injury with paralysis of even a single limb | |
Fall from height >2 m | Fractures of two or more subxinextising bones | |
Pedestrian projected or rolled or hit at speed >10 km/h | Suspected unstable fracture king of pelvis: Suspected unstable fracture | |
High-energy impact (speed >65 km/h) | Skull fracture scuttled | |
Vehicle coat | Burn >20% of body surface or airway/face | |
Extrication time >20 min |
Coagulopathy | Non-Coagulopathy | |
---|---|---|
ISS >15 | 21.26% | 15.7% |
MSI >1.3 | 9.8% | 4.76% |
ASI >50 | 7.84% | 5.49% |
Coagulopathy | Non-Coagulopathy | ||
---|---|---|---|
% Hospitalization | 76% | 58% | p = 0.016 |
% ICU | 22% | 14.8% | |
ICU Stay (day) | 12.5% | 9.8% | |
% Operation theatre | 19.2% | 17.2% | |
Intrahospital mortality | 3.92% | 0.98% |
Coagulopathy | Non-Coagulopathy | |
---|---|---|
pH <7.35 | 5.5% | 1.32% |
% ICU | 29.5% | 2.32% |
ICU Stay (day) | 1.97% | 0% |
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Savioli, G.; Ceresa, I.F.; Macedonio, S.; Gerosa, S.; Belliato, M.; Iotti, G.A.; Luzzi, S.; Del Maestro, M.; Mezzini, G.; Giotta Lucifero, A.; et al. Trauma Coagulopathy and Its Outcomes. Medicina 2020, 56, 205. https://doi.org/10.3390/medicina56040205
Savioli G, Ceresa IF, Macedonio S, Gerosa S, Belliato M, Iotti GA, Luzzi S, Del Maestro M, Mezzini G, Giotta Lucifero A, et al. Trauma Coagulopathy and Its Outcomes. Medicina. 2020; 56(4):205. https://doi.org/10.3390/medicina56040205
Chicago/Turabian StyleSavioli, Gabriele, Iride Francesca Ceresa, Sarah Macedonio, Sebastiano Gerosa, Mirko Belliato, Giorgio Antonio Iotti, Sabino Luzzi, Mattia Del Maestro, Gianluca Mezzini, Alice Giotta Lucifero, and et al. 2020. "Trauma Coagulopathy and Its Outcomes" Medicina 56, no. 4: 205. https://doi.org/10.3390/medicina56040205