Prognostic value of lactate to hematocrit ratio score in patients with severe thoracoabdominal trauma; [Ciddi torakoabdominal travma hastalarında laktat-hematokrit oranının prognostik değeri]

Simple item page
dc.contributor.authorDemir B.
dc.contributor.authorŞaşmaz M.İ.
dc.contributor.authorSaglam Gurmen E.
dc.contributor.authorBilge A.
dc.date.accessioned2024-07-22T08:04:16Z
dc.date.available2024-07-22T08:04:16Z
dc.date.issued2022
dc.description.abstractBACKGROUND: 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. © 2022 Turkish Association of Trauma and Emergency Surgery.
dc.identifier.DOI-ID10.14744/tjtes.2021.51189
dc.identifier.issn1306696X
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/12631
dc.language.isoEnglish
dc.publisherTurkish Association of Trauma and Emergency Surgery
dc.rightsAll Open Access; Green Open Access
dc.subjectCross-Sectional Studies
dc.subjectHematocrit
dc.subjectHumans
dc.subjectLactic Acid
dc.subjectPrognosis
dc.subjectRetrospective Studies
dc.subjecthemoglobin
dc.subjectlactic acid
dc.subjectlactic acid
dc.subjectabdominal injury
dc.subjectadult
dc.subjectarea under the curve
dc.subjectArticle
dc.subjectblood gas analysis
dc.subjectclinical effectiveness
dc.subjectclinical evaluation
dc.subjectcomputer assisted tomography
dc.subjectcontrolled study
dc.subjectcross-sectional study
dc.subjectdiagnostic test accuracy study
dc.subjectdisease severity
dc.subjectemergency ward
dc.subjectfalling
dc.subjectfemale
dc.subjectgunshot injury
dc.subjecthead and neck injury
dc.subjecthematocrit
dc.subjecthematological parameters
dc.subjecthuman
dc.subjectinjury
dc.subjectintensive care unit
dc.subjectlactate to hematocrite ratio
dc.subjectlimb injury
dc.subjectmale
dc.subjectmedical information system
dc.subjectmortality
dc.subjectmortality rate
dc.subjectmultiple trauma
dc.subjectpedestrian
dc.subjectpelvis injury
dc.subjectpH
dc.subjectprognostic assessment
dc.subjectreceiver operating characteristic
dc.subjectretrospective study
dc.subjectsensitivity and specificity
dc.subjectspine injury
dc.subjectstatistical analysis
dc.subjectthoracoabdominal injury
dc.subjectthoracostomy
dc.subjectthoracotomy
dc.subjectthorax injury
dc.subjecttraffic accident
dc.subjecturogenital tract injury
dc.subjectprognosis
dc.titlePrognostic value of lactate to hematocrit ratio score in patients with severe thoracoabdominal trauma; [Ciddi torakoabdominal travma hastalarında laktat-hematokrit oranının prognostik değeri]
dc.typeArticle

Files

Collections

Scopus Koleksiyonu