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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 102 - 109 (8page)
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초록· 키워드
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Background: This study aimed to develop a model for predicting trauma outcomes by adding arterial lactate levels measured upon emergency room (ER) arrival to existing trauma injury severity scoring systems. Methods: We examined blunt trauma cases that were admitted to our hospital during 2010– 2014. Eligibility criteria were cases with an Injury Severity Score of ≥9, complete Trauma and Injury Severity Score (TRISS) variable data, and lactate levels that were assessed upon ER arrival. Survivor and non-survivor groups were compared and lactate-based prediction models were generated using logistic regression. We compared the predictive performances of traditional prediction models (Revised Trauma Score [RTS] and TRISS) and lactate-based models using the area under the curve (AUC) of receiver operating characteristic curves. Results: We included 829 patients, and the in-hospital mortality rate among these patients was 21.6%. The model that used lactate levels and age provided a significantly better AUC value than the RTS model. The model with lactate added to the TRISS variables provided the highest Youden J statistic, with 86.0% sensitivity and 70.8% specificity at a cutoff value of 0.15, as well as the highest predictive value, with a significantly higher AUC than the TRISS. Conclusions: These findings indicate that lactate testing upon ER arrival may help supplement or replace traditional physiological parameters to predict mortality outcomes among Korean trauma patients. Adding lactate levels also appears to improve the predictive abilities of existing trauma outcome prediction models.
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참고문헌 (30)
참고문헌 신청
Cook A / 2014 / A comparison of the Injury Severity Score and the Trauma Mortality Prediction Model / J Trauma Acute Care Surg 76:47~52
Cassidy LD / 2014 / Is the Trauma Mortality Prediction Model (TMPM-ICD-9) a valid predictor of mortality in pediatric trauma patients? / J Pediatr Surg 49:189~192
Vivien B / 2012 / The motor component does not convey all the mortality prediction capacity of the Glasgow Coma Scale in trauma patients / Am J Emerg Med 30:1032~1041
Haider AH / 2012 / Should the IDC-9 Trauma Mortality Prediction Model become the new paradigm for benchmarking trauma outcomes? / J Trauma Acute Care Surg 72:1695~1701
Moore L / 2010 / Improving trauma mortality prediction modeling for blunt trauma / J Trauma 68:698~705
Cassidy LD / 2014 / Is the Trauma Mortality Prediction Model (TMPM-ICD-9) a valid predictor of mortality in pediatric trauma patients? / J Pediatr Surg 49:189~192
Vivien B / 2012 / The motor component does not convey all the mortality prediction capacity of the Glasgow Coma Scale in trauma patients / Am J Emerg Med 30:1032~1041
Haider AH / 2012 / Should the IDC-9 Trauma Mortality Prediction Model become the new paradigm for benchmarking trauma outcomes? / J Trauma Acute Care Surg 72:1695~1701
Moore L / 2010 / Improving trauma mortality prediction modeling for blunt trauma / J Trauma 68:698~705
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Serial venous lactate measurement following gastrointestinal surgery in horses
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