Expérience de dix ans de réanimation chirurgicale d'un centre hospitalier universitaire. Détermination d'un critère d'identification des patients à risque de décéder de coagulopathie irréversible [10 years experience in surgical resuscitation at a university hospital center. Determination of a criterion for identifying patients at risk for fatal irreversible coagulopathy]

Details

Serval ID
serval:BIB_C63099520E93
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Expérience de dix ans de réanimation chirurgicale d'un centre hospitalier universitaire. Détermination d'un critère d'identification des patients à risque de décéder de coagulopathie irréversible [10 years experience in surgical resuscitation at a university hospital center. Determination of a criterion for identifying patients at risk for fatal irreversible coagulopathy]
Journal
Swiss Surgery
Author(s)
Schreyer N., Engeler A., Leyvraz P.F.
ISSN
0007-1323
1023-9332
Publication state
Published
Issued date
2003
Volume
9
Number
4
Pages
167-172
Language
french
Abstract
The authors evaluated ten years of surgical reanimation in the University Centre of Lausanne (CHUV). Irreversible coagulopathy (IC) is the predominant cause of death for the polytraumatized patient. Acidosis, hypothermy, and coagulation troubles are crucial elements of this coagulopathy. The authors looked for a criterion allowing the identification of dying of IC. In a retrospective study, laboratory results of pH, TP, PTT, thrombocyte count and the need for blood transfusion units were checked for each major step of the primary evaluation and treatment of the polytraumatized patients. These results were considered as critical according to criteria of the literature (30). The authors conclude that the apparation of a third critical value may be useful to identify the polytraumatized patient at risk of dying of IC status. This criterion may also guide the trauma team in selecting a damage control surgical approach (DCS). This criterion was then introduced into an algorithm involving the Emergency Department, the operating room and the Intensive Care Unit. This criterion is a new tool to address the patient at the crucial moment to the appropriate hospital structure.
Keywords
Adolescent, Adult, Aged, Aged, 80 and over, Algorithms, Blood Coagulation Tests, Cause of Death, Disseminated Intravascular Coagulation/blood, Disseminated Intravascular Coagulation/etiology, Female, Hospital Mortality, Humans, Male, Middle Aged, Multiple Trauma/blood, Multiple Trauma/mortality, Resuscitation, Retrospective Studies, Risk Factors, Switzerland
Pubmed
Create date
24/01/2008 16:27
Last modification date
20/08/2019 15:41
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