[Prognostic value of routine parameters and laboratory parameters after major trauma. A prospective preclinical-clinical study of air rescue patients]. / Prognostischer Wert von Routineparametern und -laborparametern nach schwerem Trauma. Eine prospektive präklinische-klinische Studie mit Patienten des RTH Christoph 1.
Unfallchirurg
; 110(4): 307-19, 2007 Apr.
Article
en De
| MEDLINE
| ID: mdl-17361450
In this prospective study, 273 air rescue patients with major blunt trauma were followed throughout their prehospital and clinical management. A blood sample was taken upon arrival and data acquired at three defined time points. With these data, for the first time a prognosis prediction model with prehospital and early clinical routine parameters and routine lab parameters was tested for predictive power. Coagulation test, value of base excess, Glasgow Coma Scale (GCS) value, severity of injury, and age appeared to be relevant parameters. The probability of survival after major blunt trauma decreases with increasing age and severity of injury and decreasing values in GCS, base excess, and coagulation test. These data showed that it is possible with the help of easily accessible routine parameters and routine lab parameters to predict individual survival with a high degree of accuracy of 82%.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Heridas no Penetrantes
/
Evaluación de Resultado en la Atención de Salud
/
Ambulancias Aéreas
/
Medición de Riesgo
/
Sistemas de Apoyo a Decisiones Clínicas
/
Pruebas Diagnósticas de Rutina
Tipo de estudio:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Adolescent
/
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
País/Región como asunto:
Europa
Idioma:
De
Revista:
Unfallchirurg
Asunto de la revista:
TRAUMATOLOGIA
Año:
2007
Tipo del documento:
Article
País de afiliación:
Alemania
Pais de publicación:
Alemania