20.500.12556/DKUM-59305 Predictors of mortality and prehospital monitoring limitations in blunt trauma patients This study aimed at determining predictors of in-hospital mortality and prehospital monitoring limitations in severely injured intubated blunt trauma patients. We retrospectively reviewed patients' charts. Prehospital vital signs, Injury Severity Score (ISS), initial Glasgow Coma Scale (GCS), Revised Trauma Score (RTS), arterial blood gases, and lactate were compared in two study groups: survivors (n=40) and nonsurvivors (n=30). There were no significant differences in prehospital vital signs between compared groups. Nonsurvivors were older (P=0.006), with lower initial GCS (P<0.001) and higher ISS (P<0.001), along with higher lactate (P<0.001) and larger base deficit (BD; P=0.006 ), whereas RTS (P=0.001) was lower in nonsurvivors. For predicting mortality, area under the curve (AUC) was calculated: for lactate 0.82 (P<0.001), for ISS 0.82 (P<0.001), and for BD 0.69 (P=0.006). Lactate level of 3.4mmol/L or more was 82% sensitive and 75% specific for predicting in-hospital death. In a multivariate logistic regression model, ISS (P=0.037), GCS (P=0.033), and age (P=0.002) were found to be independent predictors of in-hospital mortality. The AUC for regression model was 0.93 (P<0.001). Increased levels of lactate and BD on admission indicate more severe occult hypoperfusion in nonsurvivors whereas vital signs did not differ between the groups. vital signs nonsurvivors survivors vitalni znaki preživeli true false true Angleški jezik Slovenski jezik Znanstveno delo 2016-05-11 04:01:18 2017-06-14 10:06:11 2022-06-20 03:06:19 2019-07-11 11:09:25 2015 0 0 str. 1-7 Letn. 2015 2015 0000-00-00 Zaloznikova Objavljeno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 2314-6141 616-083.98 30624729 512471608 10.1155/2015/983409 2314-6141 URN:SI:UM:DK:D24FDUJD BioMed_Research_International_2015_Strnad_et_al._Predictors_of_Mortality_and_Prehospital_Monitoring_Limitations_in_Blunt_Trauma_Patients.pdf BioMed_Research_International_2015_Strnad_et_al._Predictors_of_Mortality_and_Prehospital_Monitoring_Limitations_in_Blunt_Trauma_Patients.pdf 1 05D39042F6D6971BD993BC3BD61A01B6 6f3fc5173f540bcab718790837c52776c97f4b8152cdfb5614f87290b1d15762 3d5eda5f-7c0e-11eb-bb7a-00155d0001ca https://dk.um.si/Dokument.php?lang=slv&id=112490 http://www.hindawi.com/journals/bmri/2015/983409/ 1 https://dk.um.si/Dokument.php?lang=slv&id=91374 Medicinska fakulteta 0 0 0