作者
Bellal Joseph, Asad Azim, Bardiya Zangbar, Zachary Bauman, Terence O'Keeffe, Kareem Ibraheem, Narong Kulvatunyou, Andrew Tang, Riaft Latifi, Peter Rhee
发表日期
2017/2/1
期刊
Journal of Trauma and Acute Care Surgery
卷号
82
期号
2
页码范围
328-333
出版商
LWW
简介
BACKGROUND
The aim of this study was to evaluate the related change in outcomes (mortality, complications) in patients undergoing trauma laparotomy (TL) with the implementation of damage control resuscitation (DCR). We hypothesized that the implementation of DCR in patients undergoing TL is associated with better outcomes.
METHODS
We analyzed 1,030 consecutive patients with TL. Patients were stratified into three phases: pre-DCR (2006–2007), transient (2008–2009), and post-DCR (2010–2013). Resuscitation fluids (crystalloids and blood products), injury severity score (ISS), vital signs, and laboratory (hemoglobin, international normalized ratio, lactate) parameters were recorded. Regression analysis was performed after adjusting for age, ISS, laboratory and vital parameters, comorbidities, and resuscitation fluids to identify independent predictors for outcomes in each phase.
RESULTS
Patient …
学术搜索中的文章
B Joseph, A Azim, B Zangbar, Z Bauman, T O'Keeffe… - Journal of Trauma and Acute Care Surgery, 2017
