Utility of Base Deficit for Identifying Major Injury in Elder Trauma Patients

Academic Emergency Medicine

Volumn 14, Issue 9, 2007, Pages 829-831

  Zehtabchi, Shahriar ^a   Baron, Bonny J ^a  

^a SUNY DOWNSTATE MEDICAL CENTER   (United States)

Author keywords

base deficit; diagnosis; elders; injury; trauma

Indexed keywords

LACTIC ACID;

AGED; ARTICLE; BASE DEFICIT; CLINICAL OBSERVATION; CONFIDENCE INTERVAL; CONTROLLED STUDY; DIAGNOSTIC ACCURACY; DIAGNOSTIC VALUE; ELDERLY CARE; EMERGENCY WARD; FEMALE; HUMAN; INJURY SEVERITY; MAJOR CLINICAL STUDY; MALE; PERFUSION; PREDICTION; PRIORITY JOURNAL; PROSPECTIVE STUDY; RESUSCITATION; ROC CURVE;

ACID-BASE IMBALANCE; AGED; AGED, 80 AND OVER; FEMALE; HUMANS; MALE; PROSPECTIVE STUDIES; TRAUMA CENTERS; URBAN POPULATION; WOUNDS AND INJURIES;

EID: 34547943861     PISSN: 10696563     EISSN: None     Source Type: Journal    
DOI: 10.1197/j.aem.2007.04.017     Document Type: Article

References (10)

1. McMahon D.J., Schwab C.W., and Kauder D. Comorbidity and the elderly trauma patient. World J Surg 20 (1996) 1113-1119
2. Scalea T.M., Simon H.M., Duncan A.O., et al. Geriatric blunt multiple trauma: improved survival with early invasive monitoring. J Trauma 30 (1990) 129-134
3. McKinley B.A., Marvin R.G., Cocanour C.S., Marquez A., Ware D.N., and Moore F.A. Blunt trauma resuscitation: the old can respond. Arch Surg 135 (2000) 688-693
4. Davis J.W., Parks S.N., Kaups K.L., Gladen H.E., and O'Donnell-Nicol S. Admission base deficit predicts transfusion requirements and risk of complications. J Trauma 41 (1996) 769-774
5. Chang M.C., Rutherford E.J., and Morris Jr. J.A. Base deficit as a guide to injury severity and volume resuscitation. J Tenn Med Assoc 86 (1993) 59-61
6. Zehtabchi S., Baron B.J., Sinert R., Yadav K., and Lucchesi M. Ethanol and illicit drugs do not affect the diagnostic utility of base deficit and lactate in differentiating minor from major injury in trauma patients. Acad Emerg Med 11 (2004) 1014-1020
7. Norlund A.E., and Borrebaek B. The decreases with age in the activities of enzymes of human skeletal muscle. Some observations on palmityl-carnitine formation, hexokinase activity, and lactate dehydrogenase activity. Biochem Med 20 (1978) 378-381
8. Morris Jr. J.A., MacKenzie E.J., and Edelstein S.L. The effect of preexisting conditions on mortality in trauma patients. JAMA 263 (1990) 1942-1946
9. Davis J.W., and Kaups K.L. Base deficit in the elderly: a marker of severe injury and death. J Trauma 45 (1998) 873-877
10. Fencl V., Jabor A., Kazda A., and Figge J. Diagnosis of metabolic acid-base disturbances in critically ill patients. Am J Respir Crit Care Med 162 (2000) 2246-2251