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Prognostic value of lactate to hematocrit ratio score in patients with severe thoracoabdominal trauma

BACKGROUND: Significant portion of trauma-related deaths occur in the 1st h; therefore, rapid diagnosis and adequate resuscitation in trauma patients are essential preventing mortality. In this study, we aimed to evaluate the role of lactate-to-hematocrite ratio (LHR) score for predicting mortality...

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Autores principales: Demir, Bülent, Şaşmaz, Muhammed İkbal, Gurmen, Ekim Saglam, Bilge, Adnan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Kare Publishing 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10493832/
https://www.ncbi.nlm.nih.gov/pubmed/35775673
http://dx.doi.org/10.14744/tjtes.2021.51189
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author Demir, Bülent
Şaşmaz, Muhammed İkbal
Gurmen, Ekim Saglam
Bilge, Adnan
author_facet Demir, Bülent
Şaşmaz, Muhammed İkbal
Gurmen, Ekim Saglam
Bilge, Adnan
author_sort Demir, Bülent
collection PubMed
description BACKGROUND: Significant portion of trauma-related deaths occur in the 1st h; therefore, rapid diagnosis and adequate resuscitation in trauma patients are essential preventing mortality. In this study, we aimed to evaluate the role of lactate-to-hematocrite ratio (LHR) score for predicting mortality in patients with severe thoracoabdominal trauma. METHODS: In this retrospective, cross-sectional study, we evaluated patients who applied to the emergency room between January 1, 2016, and December 31, 2019, due to multiple trauma. We measured the blood gas analysis values and LHR score of patients with severe thoracoabdominal trauma included in the study and investigated the effectiveness of the LHR score in predicting mortality. RESULTS: 106 patients with severe thoracoabdominal trauma were included in the study. The 30-day mortality rate of the patients was 42.5% (n=45). Considering the 30-day mortality rates, the initial hematocrit, lactate, base deficit, and LHR score were statistically different between patients who died and survived. When the cutoff value for the LHR score was taken as 0.187 on the ROC curve to distinguish mortality, the sensitivity was found to be 77.8%, specificity to be 90.2%. CONCLUSION: LHR score is an effective parameter with high sensitivity and specificity in predicting mortality in patients with severe thoracoabdominal trauma.
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spelling pubmed-104938322023-09-12 Prognostic value of lactate to hematocrit ratio score in patients with severe thoracoabdominal trauma Demir, Bülent Şaşmaz, Muhammed İkbal Gurmen, Ekim Saglam Bilge, Adnan Ulus Travma Acil Cerrahi Derg Original Article BACKGROUND: Significant portion of trauma-related deaths occur in the 1st h; therefore, rapid diagnosis and adequate resuscitation in trauma patients are essential preventing mortality. In this study, we aimed to evaluate the role of lactate-to-hematocrite ratio (LHR) score for predicting mortality in patients with severe thoracoabdominal trauma. METHODS: In this retrospective, cross-sectional study, we evaluated patients who applied to the emergency room between January 1, 2016, and December 31, 2019, due to multiple trauma. We measured the blood gas analysis values and LHR score of patients with severe thoracoabdominal trauma included in the study and investigated the effectiveness of the LHR score in predicting mortality. RESULTS: 106 patients with severe thoracoabdominal trauma were included in the study. The 30-day mortality rate of the patients was 42.5% (n=45). Considering the 30-day mortality rates, the initial hematocrit, lactate, base deficit, and LHR score were statistically different between patients who died and survived. When the cutoff value for the LHR score was taken as 0.187 on the ROC curve to distinguish mortality, the sensitivity was found to be 77.8%, specificity to be 90.2%. CONCLUSION: LHR score is an effective parameter with high sensitivity and specificity in predicting mortality in patients with severe thoracoabdominal trauma. Kare Publishing 2022-07-01 /pmc/articles/PMC10493832/ /pubmed/35775673 http://dx.doi.org/10.14744/tjtes.2021.51189 Text en Copyright © 2022 Turkish Journal of Trauma and Emergency Surgery https://creativecommons.org/licenses/by-nc/4.0/This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License
spellingShingle Original Article
Demir, Bülent
Şaşmaz, Muhammed İkbal
Gurmen, Ekim Saglam
Bilge, Adnan
Prognostic value of lactate to hematocrit ratio score in patients with severe thoracoabdominal trauma
title Prognostic value of lactate to hematocrit ratio score in patients with severe thoracoabdominal trauma
title_full Prognostic value of lactate to hematocrit ratio score in patients with severe thoracoabdominal trauma
title_fullStr Prognostic value of lactate to hematocrit ratio score in patients with severe thoracoabdominal trauma
title_full_unstemmed Prognostic value of lactate to hematocrit ratio score in patients with severe thoracoabdominal trauma
title_short Prognostic value of lactate to hematocrit ratio score in patients with severe thoracoabdominal trauma
title_sort prognostic value of lactate to hematocrit ratio score in patients with severe thoracoabdominal trauma
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10493832/
https://www.ncbi.nlm.nih.gov/pubmed/35775673
http://dx.doi.org/10.14744/tjtes.2021.51189
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