Background: The trauma and injury severity score (TRISS) and Acute Physiology and Chronic Health Evaluation IV (APACHE IV) are accurate but complex. This study aimed to compare venous glucose, levels of serum lactate, and base deficit in polytraumatized patients as simple parameters to predict the mortality in these patients versus (TRISS) and (APACHE IV).
Methods: This was a comparative cross-sectional study of 282 patients with polytrauma presented to the Emergency Department (ED).
Results: The best cut off value of TRISS probability of survival score for prediction of mortality among poly-traumatized patients was ≤90. APACHE IV demonstrated 67% sensitivity and 95% specificity at 95% CI at cut off point 99. The best cutoff value of Random Blood Sugar was >140 mg/dl, with 89% sensitivity, 49% specificity; base deficit was less than -5.6 with 64% sensitivity, 93% specificity; lactate was >2.6 mmol/L with 92%, sensitivity, 42% specificity.
Conclusion: Venous glucose, serum lactate and base deficit are easy and rapid biochemical predictors of mortality in patients with polytrauma. These predictors could be used as TRISS and APACHE IV in predicting mortality.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.5505/tjtes.2015.96832 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Performance validity tests in people with epilepsy: A review of the literature.
Seizure
December 2024
University College Hospital, London, UK; UCL Queen Square Institute of Neurology: Department of Clinical and Experimental Epilepsy, London WC1N 3BG, UK. Electronic address:
Objective: Professional bodies recommend the use of performance validity tests (PVTs) to aid the interpretation of scores obtained in neuropsychological assessments, but base rates of failure differ according to neurological diagnosis and the associated impairments. This review summarises the PVT literature in people with epilepsy with the aim of establishing base rates of PVT failure and the factors associated with PVT performance in this population.
Methods: Ovid and PubMed databases were searched for studies reporting PVT test performance in people with epilepsy.
The Costs of a Multisectoral Nutrition Program Implemented Through a Poultry Value Chain Platform in Burkina Faso.
Matern Child Nutr
January 2025
Department of Global Health, University of Washington, Seattle, Washington, USA.
Undernutrition in women and young children in Burkina Faso is a critical problem. Egg consumption is low despite many households raising poultry. The Soutenir l'Exploitation Familiale pour Lancer l'Élevage des Volailles et Valoriser l'Économie Rurale (SELEVER) project, an integrated agriculture-nutrition intervention, promoted egg consumption and sales to investigate the impact of poultry production on child nutrition.
View Article and Find Full Text PDFReview on synthesis of lactic acid and lactates from biomass derived carbohydrates via heterogeneous catalysis.
Bioresour Technol
December 2024
National & Local Joint Engineering Research Center of Biomass Resource Utilization, College of Environmental Science and Engineering, Nankai University, Tianjin 300350, China.
The utilization of renewable lignocellulosic biomass resources is a promising solution to deal with the deficit of fossil resources and the associated environmental concerns. Among diverse biomass-derived products, lactic acid (LA) stands out as one of the most successful commodities and also a platform to connect raw biomass feedstocks with value-added chemicals and degradable polymers. Herein, we critically review the recent advances in the design and development of base, acid, and multifunctional catalytic systems for the conversion of different carbohydrates to LA and alkyl lactates via chemical routes.
View Article and Find Full Text PDFRecurrent Refractory Non-Dupuytren Contracture in Females After Limited Fasciectomy.
Cureus
December 2024
Department of Orthopaedics, Niigata Hand Surgery Foundation, Seiro-machi, JPN.
Article Synopsis
- Non-Dupuytren's contracture, often resulting from trauma or surgery, usually doesn't need surgery; however, in this case, an 81-year-old woman had a series of surgeries for finger issues, leading to ongoing complications.
- During her surgeries, procedures like limited fasciectomy, flexor tenolysis, and joint mobilization were performed, but the flexion contracture persisted after initial attempts.
- Ultimately, despite multiple interventions including excision of the cord and attempts to improve motion, the flexion contracture recurred, highlighting the need to anticipate potential recurrence in surgical planning for non-Dupuytren's contracture.
Apps and Digital Resources for Child Neurodevelopment, Mental Health, and Well-Being: Review, Evaluation, and Reflection on Current Resources.
J Med Internet Res
January 2025
Children's Hospital Westmead Clinical School, Faculty of Medicine and Health, University of Sydney, Sydney, Australia.
Background: An increase in the prevalence of neurodevelopmental conditions worldwide, alongside resource constraints within clinical services, has led to increased interest in health information technologies, such as apps and digital resources. Digital tools are often viewed as a solution to bridge this divide and to increase supports for families. There is, however, a paucity of research that has evaluated digital health tools, their potential benefits for child neurodevelopment and associated concerns (eg, mental health, well-being), and their benefit for families.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!