Severe traumatic brain injury and hypotension is a frequent and lethal combination in multiple trauma patients in mountain areas – an analysis of the prospective international Alpine Trauma Registry

Autor: Simon Rauch, Matilde Marzolo, Tomas Dal Cappello, Mathias Ströhle, Peter Mair, Urs Pietsch, Hermann Brugger, Giacomo Strapazzon, the IATR study group
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, Vol 29, Iss 1, Pp 1-10 (2021)
Druh dokumentu: article
ISSN: 1757-7241
DOI: 10.1186/s13049-021-00879-1
Popis: Abstract Background Hypotension is associated with worse outcome in patients with traumatic brain injury (TBI) and maintaining a systolic blood pressure (SBP) ≥110 mmHg is recommended. The aim of this study was to assess the incidence of TBI in patients suffering multiple trauma in mountain areas; to describe associated factors, treatment and outcome compared to non-hypotensive patients with TBI and patients without TBI; and to evaluate pre-hospital variables to predict admission hypotension. Methods Data from the prospective International Alpine Trauma Registry including mountain multiple trauma patients (ISS ≥ 16) collected between 2010 and 2019 were analysed. Patients were divided into three groups: 1) TBI with hypotension, 2) TBI without hypotension and 3) no TBI. TBI was defined as Abbreviated Injury Scale (AIS) of the head/neck ≥3 and hypotension as SBP
Databáze: Directory of Open Access Journals