Back to Search
Start Over
POST-TRAUMATIC HYPOTENSION
- Source :
- Shock; February 2007, Vol. 27 Issue: 2 p134-138, 5p
- Publication Year :
- 2007
-
Abstract
- It is generally accepted that patients with a systolic blood pressure (SBP) <90 mmHg are in "shock" and have a worse prognosis than patients with a higher SBP. Our objective was to determine if patients with a SBP of 90-109 mmHg have a worse outcome than patients with a higher SBP following trauma. Patients with gastric, small bowel, and/or diaphragm injuries were identified retrospectively through the trauma database from 1980-2003. All 2071 patients underwent emergent laparotomy at an urban, level one trauma center. The mortality rate of patients with a SBP of 90-109 mmHg in the ED or OR was 5% (17/354) and significantly higher than the 1% (12/1020) mortality seen in patients with a SBP of 110 mmHg or greater (P< 0.001). The average length of stay of patients with a SBP of 90-109 mmHg was 15 ± 14 days and was significantly longer than the 11 ± 11 days seen in patients with a higher SBP. If the SBP was 90-109 mmHg, the infection rate was 39% (131/340), and this was significantly higher than the 22% (219/1016) infection rate seen in patients with higher SBP (P< 0.001). Trauma patients with a systolic blood pressure of 109 mmHg or below are at increased risk for morbidity and mortality following trauma. Patients with a systolic blood pressure of 90-109 mmHg following trauma should be considered as a special group requiring aggressive resuscitation and surgery. Early operative control of hemorrhage in these patients can reduce mortality and infection.
Details
- Language :
- English
- ISSN :
- 10732322
- Volume :
- 27
- Issue :
- 2
- Database :
- Supplemental Index
- Journal :
- Shock
- Publication Type :
- Periodical
- Accession number :
- ejs48536709
- Full Text :
- https://doi.org/10.1097/01.shk.0000239772.18151.18