Prognostic Value of Lactate Levels in Trauma Patients' Outcomes in Emergency Department.

Bulletin of emergency and trauma Pub Date : 2025-01-01 DOI:10.30476/beat.2025.103125.1519

Sayyed Majid Sadrzadeh, Vahid Talebzadeh, Seyed Mohammad Mousavi, Behrang Rezvani Kakhki, Elnaz Vafadar Moradi, Hamideh Feiz Disfani

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引用次数: 0

Abstract

Objectives: This study aimed to investigate the prognostic role of lactate clearance in predicting outcomes among trauma patients admitted to the emergency department.

Methods: This retrospective cohort study was conducted on patients referred to the Emergency Department. Serum lactate levels were measured at admission and 2 hours later. The patients were followed up for 72 hours to assess outcomes, including discharge, hospitalization in other wards, and mortality.

Results: The results showed a significant difference between the mean age, Glasgow Coma Scale (GCS), systolic blood pressure (SBP), pulse rate (PR), and oxygen saturation (O₂ Sat) of the trauma patients in relation to mortality prognosis (p<0.05). Additionally, significant differences were found in primary lactate, lactate levels two hours post-admission, and lactate clearance levels based on the patient's prognosis (p<0.01). Multivariate logistic regression analysis revealed that lactate clearance was associated with a reduced mortality rate among trauma patients (OR=0.907, p<0.05).

Conclusion: The findings of this study showed that lactate clearance, as an independent predictive factor, was associated with poorer prognosis and increased mortality rates in trauma patients.

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乳酸水平对急诊科创伤患者预后的预测价值。

目的：本研究旨在探讨乳酸清除率在预测急诊创伤患者预后中的作用。方法：本回顾性队列研究对转介到急诊科的患者进行。入院时和2小时后测定血清乳酸水平。患者随访72小时以评估结果，包括出院、在其他病房住院和死亡率。结果：结果显示创伤患者的平均年龄、格拉斯哥昏迷评分（GCS）、收缩压（SBP）、脉搏率（PR）、血氧饱和度（O2 Sat）与死亡预后的关系存在显著差异（ppp）。结论：本研究结果显示，乳酸清除率是创伤患者预后较差、死亡率升高的独立预测因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Bulletin of emergency and trauma

自引率

0.00%

发文量

审稿时长

12 weeks

期刊介绍： BEAT: Bulletin of Emergency And Trauma is an international, peer-reviewed, quarterly journal coping with original research contributing to the field of emergency medicine and trauma. BEAT is the official journal of the Trauma Research Center (TRC) of Shiraz University of Medical Sciences (SUMS), Hungarian Trauma Society (HTS) and Lusitanian Association for Trauma and Emergency Surgery (ALTEC/LATES) aiming to be a publication of international repute that serves as a medium for dissemination and exchange of scientific knowledge in the emergency medicine and trauma. The aim of BEAT is to publish original research focusing on practicing and training of emergency medicine and trauma to publish peer-reviewed articles of current international interest in the form of original articles, brief communications, reviews, case reports, clinical images, and letters.