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2018, Number 4

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Med Crit 2018; 32 (4)

Base deficit versus carbon dioxide delta as a prognostic factor of complications in hemorrhagic shock

Ledezma RF, Solís ADA, Mendoza RM

Language: Spanish
References: 16
Page: 217-224
PDF size: 220.58 Kb.


ABSTRACT

Objective: Demonstrate that the baseline deficit is a better prognostic factor than the CO2 delta to assess the complications of hemorrhagic shock.
Methodology: An observational, descriptive, analytical, longitudinal and retrospective study was performed. This study included all patients diagnosed with hemorrhagic shock during the period from January 2016 to May 2017, where 27 patients were collected. For the analysis of the results we used measures of central tendency, tests of significance, sensitivity and specificity of each one of the tests.
Results: It was observed that the sensitivity and specificity of the baseline and CO2 delta deficits were 76% and 40% specificity compared to base deficit with 70% sensitivity and 50% specificity.
Conclusions: In this study, no statistically significant difference was found as a predictive factor between the CO2 delta and the baseline deficit in the follow-up of the resuscitation of hemorrhagic shock. The two tests have good sensitivity, however they have little specificity, so in the management of resuscitation of hemorrhagic shock can not be used in isolation. Complications of hemorrhagic shock were acute lung injury, renal injury, and cardiovascular dysfunction.


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