Home Health For pediatric trauma patients, ‘base deficiency’ is more accurate than vital signs

For pediatric trauma patients, ‘base deficiency’ is more accurate than vital signs

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[의학신문·일간보사=이상만 기자] Unlike other emergency diseases, when severe hemorrhagic shock occurs in pediatric trauma patients that can lead to death, vital signsnot base deficiency levelsA study found that predicting the prognosis with.

Hemorrhage is the most common and treatable cause of death in trauma patients., Traditionally, depending on the initial vital signs 4Classified as stage hemorrhagic shock to predict the prognosis.

but last 2013year germany Witten / Herdecke Professor Mutschiller’s team at the University Critical CareIn a paper published in Adult trauma patients base deficiencyreported that it predicts blood transfusion and death more accurately than this vital sign. based on this 2018year American Society of Surgeons(American College of Surgeons)proposed a base deficiency as a new classification criterion for hemorrhagic shock in adults., There were no base-deficiency criteria for pediatric hemorrhagic shock..

Koh Yoo-ra, Department of Emergency Medicine, Ajou University Hospital·Professor Joong-Heon Kim and Professor Heo-Yo of Trauma Surgery 2010from year 2018by year 8A person who has visited the trauma center or emergency room of Ajou University Hospital for years 0-17three children·juvenile trauma patient 603As a result of analyzing the medical records of, Severity classification of hemorrhagic shock(Bleeding Prediction)on the basis of base deficiencyIt has been proven to be more accurate than this vital sign..

The research team evaluated hemorrhagic shock in pediatric trauma patients based on base deficiency and vital signs, respectively. 4After classifying into stages, which classification has a more accurate prognosis, i.e., Dead early blood transfusion We compared whether early surgery and embolization were predicted..

as a vital sign Blood pressure pulse combined level of consciousness. Trauma patients are often transported to hospitals in an unconscious or hemodynamically unstable state., It is often difficult to determine the condition by quickly measuring vital signs.. In particular, in pediatric patients, the normal range of vital signs according to age varies due to growth and development., Combining them in an emergency is more difficult to analyze. On the other hand, for base deficiency, venous blood gas analysis through blood test arrives at the hospital. 5-10Results within minutes.

Results of the two groups(vital signs vs base deficiency) all 1in step 4The prognosis worsened as the stage progressed.. In particular, the overall mortality 6.6%was, Base Deficiency Classification 4vital signs in stages 4more deaths than stages(58.8% vs. 32.7%). Blood transfusions are classified as base-deficiency 3vital signs in stages 3received more than steps(73.8% vs. 53.7%[대량수혈 37.5% vs. 15.8%]). There was no significant difference in surgery between the two groups..

Professor Huh Through this study, in the initial treatment of pediatric trauma patients with hemorrhagic shock, base deficiencyPredict the prognosis more simply and accurately with the test, blood transfusion, Operation, It is expected that it will help to increase the therapeutic effect by actively implementing appropriate treatment for each stage, such as embolization.said.

On the other hand, the results of this study 4Monthly Yonsei Medical Journal Comparison of Base Deficit and Vital Signs as Criteria for Hemorrhagic Shock Classification in Children with Trauma(Comparison of Base Deficiency and Vital Signs as Criteria for Hemorrhagic Shock in Children with Trauma)published under the title.

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