Urine flow rate monitoring in hypovolemic multiple trauma patients

Autor: Evgeni Brotfain, Yoram Klein, Ronen Toledano, Leonid Koyfman, Dmitry Frank, Micha Y. Shamir, Moti Klein
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: World Journal of Emergency Surgery, Vol 12, Iss 1, Pp 1-6 (2017)
Druh dokumentu: article
ISSN: 1749-7922
DOI: 10.1186/s13017-017-0152-3
Popis: Abstract Background The urine output is an important clinical parameter of renal function and blood volume status, especially in critically ill multiple trauma patients. In the present study, the minute-to-minute urine flow rate and its variability were analyzed in hypotensive multiple trauma patients during the first 6 h of their ICU (intensive care unit) stay. These parameters have not been previously reported. Methods The study was retrospective and observational. Demographic and clinical data were extracted from the computerized Register Information Systems. A total of 59 patients were included in the study. The patients were divided into two study groups. Group 1 consisted of 29 multiple trauma patients whose systolic blood pressure was greater than 90 mmHg on admission to the ICU and who were consequently deemed to be hemodynamically compromised. Group 2 consisted of 30 patients whose systolic blood pressure was less than 90 mmHg on admission to the ICU and who were therefore regarded as hemodynamically uncompromised. Results The urine output and urine flow rate variability during the first 6 h of the patients’ ICU stay was significantly lower in group 2 than in group 1 (p
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