Abnormal Arterial Blood Gas and Lactate Levels Do Not Alter Disposition in Adult Blunt Trauma Patien...

مرکز و کتابخانه مطالعات اسلامی به زبان های اروپایی

منو

" Abnormal Arterial Blood Gas and Lactate Levels Do Not Alter Disposition in Adult Blunt Trauma Patients after Early Computed Tomography "
Vohra, Taher; Paxton, James

Document Type	:	AL
Record Number	:	933968
Doc. No	:	LA6bs54777
Language of Document	:	English
Main Entry	:	Vohra, Taher; Paxton, James
Title & Author	:	Abnormal Arterial Blood Gas and Lactate Levels Do Not Alter Disposition in Adult Blunt Trauma Patients after Early Computed Tomography [Article]\ Vohra, Taher; Paxton, James
Title of Periodical	:	Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health
Volume/ Issue Number	:	14/3
Date	:	2013
Abstract	:	Introduction: Arterial blood gas and serum lactate (ABG / SL) values have been shown to be markers for occult shock and poor outcome following blunt trauma. However, the utility of ABG / SL in blunt trauma patients who also receive computed tomographies (CT) of the chest, abdomen, and pelvis (CT C&A) remains unknown. Methods: A chart review was performed of all adult blunt trauma patients who received both CT C&A and ABG / SL upon presentation to our emergency department (ED) between January 1, 2007 and December 31, 2007. These patients (n=360) were identified from our institutional trauma registry database. Patients were divided into subgroups based upon whether they had a positive or negative ED evaluation for traumatic injury requiring hospitalization or immediate operative management. The expected course for patients with negative ED evaluations regardless of ABG / SL was discharge home. The primary outcome measure was the proportion of patients with a negative ED evaluation and an abnormal ABG or SL that were admitted to the hospital. Results: 2.9% of patients with a negative ED evaluation and abnormal ABG or SL were admitted. Of these, none were found to have any post-traumatic sequalae. Conclusion: We found that abnormal ABG / SL results do not change management or discharge disposition in patients without clinical or radiographic evidence of traumatic injury on CT C&A. Among patients who receive CT C&A, the routine measurement of arterial blood gas and lactate may be an unnecessary source of additional cost, patient discomfort, and delay in care. [West J Emerg Med. 2013;14(3):212–217.]