Initial inferior vena cava diameter on computed tomographic scan independently predicts mortality in severely injured trauma patients
| Autor: | Tabitha Garwe, Jason S. Lees, David Bishop, Roxie M. Albrecht, David W. Shepherd, Ademola Adeseye, Jeremy J. Johnson, Robert B. Fails |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
Male medicine.medical_specialty Population Vena Cava Inferior Critical Care and Intensive Care Medicine Inferior vena cava Injury Severity Score Trauma Centers Predictive Value of Tests medicine Humans Decompensation Hospital Mortality education Retrospective Studies education.field_of_study business.industry Trauma center Retrospective cohort study Shock United States Survival Rate Blood pressure medicine.vein cardiovascular system Wounds and Injuries Surgery Base excess Female Radiology business Tomography X-Ray Computed Follow-Up Studies |
| Zdroj: | The journal of trauma and acute care surgery. 74(3) |
| ISSN: | 2163-0763 |
| Popis: | BACKGROUND In the trauma population, patients with physiologic compromise may present with "normal" vital signs. We hypothesized that the inferior vena cava (IVC) diameter could be used as a surrogate marker for hypovolemic shock and predict mortality in severely injured trauma patients. METHODS A retrospective cohort study was performed at a Level I trauma center on 161 severely injured adult (aged ≥ 16 years) trauma patients who were transported from the scene and underwent abdominal computed tomography within 1 hour. Exposure of interest was dichotomously defined as having an infrarenal transverse to anteroposterior IVC ratio of ≥ 1.9 (flat IVC) or |
| Databáze: | OpenAIRE |
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