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变化的关联与部署战斗环境中的24小时结果

Matthew M Nguyen¹, Melissa L Givens², Andrew D Fisher³

¹Georgetown University, Washington, DC 20057, USA.

Military medicine

|September 24, 2024

概括

像低血症和高血症这样的障碍在战斗创伤患者中很常见. 这些不平衡与生理问题和增加血液制品的使用,特别是低血症有关.

科学领域:

创伤医学创伤医学
关键的护理关键的护理
军事医学军事医学

背景情况:

在战斗伤亡中,障碍并未得到充分理解.
本研究描述了在部署的军事环境中不平衡的发生率和影响.

研究的目的:

为了确定战斗创伤患者中失调的频率.
调查水平,生理障碍和死亡率之间的关联.

主要方法:

从国防部创伤登记处 (2007-2023) 分析成年伤亡人数.
包括美国军方,承包商和联盟人员在紧急情况部门 (ED) 中被记录的有离子伤亡.
多变量后勤回归模型用于评估与生理障碍,血液制品使用和生存的关联.

主要成果:

在941名伤亡者中,26%的人患有障碍 (22%的低血症,5%的高血症).
低血症与INR升高,酸性,低心率,低血压,低格拉斯哥昏迷尺度,高冲击指数和血液产品输血增加有关.
高血症与酸症,低格拉斯哥昏迷表和增加血液产品输血有关.

结论:

在ED中,低血症和高血症都与生理障碍和更多的血液产品利用有关.
低血症与不良结果的相关性比高血症更为广泛.
计划进行进一步的前性研究以验证这些发现.

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