Discrepancy between heart rate and makers of hypoperfusion is a predictor of mortality in trauma patients

Journal of Trauma - Injury, Infection and Critical Care

Volumn 71, Issue 4, 2011, Pages 789-792

  Mizushima, Yasuaki ^a   Ueno, Masato ^a   Watanabe, Hiroaki ^a   Ishikawa, Kazuo ^a   Matsuoka, Tetsuya ^a  

^a National Hospital Organization   (Japan)

Author keywords

Base deficit; Lactate; Mortality; Trauma

Indexed keywords

LACTIC ACID;

ADOLESCENT; ADULT; ARTICLE; BLUNT TRAUMA; FEMALE; HEAD INJURY; HEART RATE; HUMAN; INJURY SEVERITY; MAJOR CLINICAL STUDY; MALE; MEDICAL RECORD REVIEW; MORTALITY; PENETRATING TRAUMA; PERFUSION; PRIORITY JOURNAL; PROGNOSIS; TACHYCARDIA;

ACIDOSIS, LACTIC; ADULT; BLOOD PRESSURE; HEART RATE; HUMANS; INJURY SEVERITY SCORE; LACTIC ACID; LOGISTIC MODELS; MALE; MIDDLE AGED; ODDS RATIO; PROGNOSIS; RETROSPECTIVE STUDIES; RISK FACTORS; SHOCK, TRAUMATIC; TACHYCARDIA; WOUNDS AND INJURIES;

EID: 80054044059     PISSN: 00225282     EISSN: 15298809     Source Type: Journal    
DOI: 10.1097/TA.0b013e31822f7bbd     Document Type: Article

References (22)

1. American College of Surgeons Committee on Trauma. Advanced Trauma Life Support: Student Manual. 8th ed. Chicago, IL: American College of Surgeons; 2008.
2. Luna GK, Eddy AC, Copass M. The sensitivity of vital signs in identifying major thoracoabdominal hemorrhage. Am J Surg. 1989;157: 512-515. (Pubitemid 19127472)
3. Demetriades D, Chan LS, Bhasin P, et al. Relative bradycardia in patients with traumatic hypotension. J Trauma. 1998;45:534-539. (Pubitemid 28452139)
4. Ley EJ, Salim A, Kohanzadeh S, Mirocha J, Margulies DR. Relative bradycardia in hypotensive trauma patients: A reappraisal. J Trauma. 2009;67:1051-1054.
5. Thompson D, Adams SL, Barrett J. Relative bradycardia in patients with isolated penetrating abdominal trauma and isolated extremity trauma. Ann Emerg Med. 1990;19:268-275. (Pubitemid 20064453)
6. Victorino GP, Battistella FD, Wisner DH. Does tachycardia correlate with hypotension after trauma? J Am Coll Surg. 2003;196:679-684. (Pubitemid 36560196)
7. Brasel KJ, Guse C, Gentilello LM, Nirula R. Heart rate: Is it truly a vital sign? J Trauma. 2007;62:812-817. (Pubitemid 46624193)
8. Seamon MJ, Feather C, Smith BP, Kulp H, Gaughan JP, Goldberg AJ. Just one drop: The significance of a single hypotensive blood pressure reading during trauma resuscitations. J Trauma. 2010;68:1289-1294; discussion 1294-1295.
9. Callaway DW, Shapiro NI, Donnino MW, Baker C, Rosen CL. Serum lactate and base deficit as predictors of mortality in normotensive elderly blunt trauma patients. J Trauma. 2009;66:1040-1044.
10. Tisherman SA, Barie P, Bokhari F, et al. Clinical practice guideline: Endpoints of resuscitation. J Trauma. 2004;57:898-912. (Pubitemid 39431221)
11. Secher NH, Jacobsen J, Friedman DB, Matzen S. Bradycardia during reversible hypovolaemic shock: Associated neural reflex mechanisms and clinical implications. Clin Exp Pharmacol Physiol. 1992;19:733-743.
12. Husain FA, Martin MJ, Mullenix PS, Steele SR, Elliott DC. Serum lactate and base deficit as predictors of mortality and morbidity. Am J Surg. 2003;185:485-491. (Pubitemid 36513962)
13. Davis JW, Parks SN, Kaups KL, Gladen HE, O'Donnell-Nicol S. Admission base deficit predicts transfusion requirements and risk of complications. J Trauma. 1996;41:769-774. (Pubitemid 26403369)
14. Heffernan DS, Thakkar RK, Monaghan SF, et al. Normal presenting vital signs are unreliable in geriatric blunt trauma victims. J Trauma. 2010;69:813-820.
15. Lindenauer PK, Pekow P, Wang K, Mamidi DK, Gutierrez B, Benjamin EM. Perioperative beta-blocker therapy and mortality after major noncardiac surgery. N Engl J Med. 2005;353:349-361. (Pubitemid 41132339)
16. Auerbach AD, Goldman L. Beta-Blockers and reduction of cardiac events in noncardiac surgery: Clinical applications. JAMA. 2002;287: 1445-1447. (Pubitemid 34250508)
17. Arbabi S, Ahrns KS, Wahl WL, et al. Beta-blocker use is associated with improved outcomes in adult burn patients. J Trauma. 2004;56:265-269; discussion 269-271.
18. Arbabi S, Campion EM, Hemmila MR, et al. Beta-blocker use is associated with improved outcomes in adult trauma patients. J Trauma. 2007;62:56-61; discussion 61-62. (Pubitemid 46102828)
19. Friese RS, Barber R, McBride D, Bender J, Gentilello LM. Could beta blockade improve outcome after injury by modulating inflammatory profiles? J Trauma. 2008;64:1061-1068. (Pubitemid 351521900)
20. Morel DR, Forster A, Suter PM. Evaluation of I.V. labetalol for treatment of posttraumatic hyperdynamic state. Intensive Care Med. 1984;10:133-137. (Pubitemid 14121521)
21. Neideen T, Lam M, Brasel KJ. Preinjury beta blockers are associated with increased mortality in geriatric trauma patients. J Trauma. 2008; 65:1016-1020.
22. Taniguchi T, Kurita A, Yamamoto K, Inaba H. Effects of carvedilol on mortality and inflammatory responses to severe hemorrhagic shock in rats. Shock. 2009;32:272-275.