Narrow pulse pressure is independently associated with massive transfusion and emergent surgery in hemodynamically stable trauma patients

Narrow pulse pressure (PP) is a sign of Class-II hemorrhage, but its clinical relevance is unknown. We hypothesized narrow PP is related to significant transfusion and need for emergent surgery. Hemodynamically stable (SBP >/ = 90 mmHg) trauma patients were retrospectively reviewed. Narrow PP pat...

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Veröffentlicht in:	The American journal of surgery 2020-11, Vol.220 (5), p.1319-1322
Hauptverfasser:	Bankhead-Kendall, B., Teixeira, P., Roward, S., Ali, S., Ryder, A., Sahi, S., Cardenas, T., Aydelotte, J., Coopwood, B., Brown, C.
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Aged Aged, 80 and over Blood Pressure Blood Pressure Determination Blood transfusion Blood Transfusion - statistics & numerical data Blood transfusions Case-Control Studies Clinical Decision Rules Emergencies Emergency medical care Female Gender Hemorrhage Hemorrhage - diagnosis Hemorrhage - etiology Hemorrhage - therapy Hemorrhagic shock Humans Injuries Laparotomy Life Sciences & Biomedicine Linear Models Logistic Models Male Middle Aged Mortality Ostomy Patients Prognosis Pulse pressure Retrospective Studies Science & Technology Surgery Surgical Procedures, Operative - statistics & numerical data Transfusion Trauma Ventilators Vital signs Wounds and Injuries - complications Wounds and Injuries - diagnosis Wounds and Injuries - physiopathology Wounds and Injuries - therapy
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Zusammenfassung:	Narrow pulse pressure (PP) is a sign of Class-II hemorrhage, but its clinical relevance is unknown. We hypothesized narrow PP is related to significant transfusion and need for emergent surgery. Hemodynamically stable (SBP >/ = 90 mmHg) trauma patients were retrospectively reviewed. Narrow PP patients (/ = 40 mmHg). Outcomes included need for significant transfusion (>/ = 10 units) and emergent cavitary surgery. From 18,978 hemodynamically stable trauma patients admitted, 13% had narrow PP. They statistically required more massive transfusion, emergent surgery, or both (p
ISSN:	0002-9610 1879-1883
DOI:	10.1016/j.amjsurg.2020.06.042