tailieunhanh - báo cáo hóa học: " Admission hypo- or hyperthermia and survival after trauma in civilian and military environments"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành hóa học dành cho các bạn yêu hóa học tham khảo đề tài: Admission hypo- or hyperthermia and survival after trauma in civilian and military environments | Wade et al. International Journal of Emergency Medicine 2011 4 35 http content 4 1 35 o International Journal of Emergency Medicine a SpringerOpen Journal ORIGINAL RESEARCH Open Access Admission hypo- or hyperthermia and survival after trauma in civilian and military environments Charles E Wade1 2 José Salinas1 Brian J Eastridge1 John G McManus1 and John B Holcomb2 Abstract Background In the care of patients with traumatic injuries focus is placed on hypothermia secondary to its deleterious impact on the coagulation cascade. However there is scant information on the mortality effect of hyperthermia. Study objectives We hypothesized that both hypothermia and hyperthermia are associated with decreased survival in patients with traumatic injuries. Furthermore we hypothesized that in the military setting the incidence of hyperthermia would be greater compared to the civilian environment and thus contributing to an increase in mortality. Methods Registries compared were the National Trauma Data Bank NTDB three civilian Level I trauma centers and military combat support hospitals. The NTDB was used as a reference to define hypothermia and hyperthermia based upon survival. Admission temperature and outcome were known for 4 093 civilian and 4 394 military records. Results Hypothermia was defined as 36 C and hyperthermia 38 C as mortality increased outside this range. The overall mortality rates were for civilians and for military p . Of civilians 382 were hypothermic and 92 hyperthermic. The incidence of hypothermia in the military patients was 263 and for hyperthermia the incidence was 327 . Irrespective of group patients with hypothermia or hyperthermia had an increased mortality compared to those with normal temperatures for civilian military hypothermia 12 11 normal 2 2 hyperthermia 14 4 . Conclusion Care of the victim with traumatic injuries emphasizes avoidance of hypothermia however hyperthermia is also detrimental. The .

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