The Effect of Lactate Level on Early Mortality and Late Wound Healing in Children with Thoracoabdominal Trauma with Fluid Treatment Before Hospital

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dc.contributor.authorGuney, Cengiz
dc.contributor.authorCoskun, Abuzer
dc.date.accessioned2024-10-26T18:04:00Z
dc.date.available2024-10-26T18:04:00Z
dc.date.issued2020
dc.departmentSivas Cumhuriyet Üniversitesi
dc.description.abstractBackground: In this study, we aimed to evaluate the effect of serum lactate levels on early mortality and late wound healing in patients with childhood thoracoabdominal trauma, pre-hospital fluid replacement in patients admitted to the emergency department. Methods: This study included 479 patients under the age of 18 who applied to the emergency room for thoracoabdominal trauma between January 2014 and December 2018. Of these, 278(58%) were male, with a mean age of 8.34 years (range, 1-16 years). Demographic characteristics, fluid resuscitation, and serum lactate levels, trauma pattern, and mortality results of these patients were evaluated retrospectively. Results: 474 (98.9%) of the cases were blunt and 5 (1.1%) were penetrating trauma. 225 (47%) of the trauma cases were less than one meter falling, 162 (33.8%) were over one meter falling from the high, and 87 (18.2%) were car accidents inside and outside. Mortality was found most common in falling from height cases, which were related to prolonged hospitalization and high lactate level (p < 0.05). Wound healing times of patients undergoing pre-hospital fluid resuscitation and wound healing times of patients without pre-hospital fluid resuscitation were compared. Multivariate regression analysis, lactate level, and wound healing time were found to be predictive of the values found to be significant in the univariate regression analysis with fluid resuscitation and mortality (p < 0.05). Conclusion: Most thoracoabdominal traumas can be treated with conservative methods. Pre-hospital fluid treatment in severe trauma cases may lead to decreased lactate levels, reduced mortality, and shortened wound healing time.
dc.identifier.doi10.22514/sv.2020.16.0068
dc.identifier.endpage81
dc.identifier.issn1334-5605
dc.identifier.issn1845-206X
dc.identifier.issue2
dc.identifier.scopus2-s2.0-85094592955
dc.identifier.scopusqualityQ3
dc.identifier.startpage75
dc.identifier.urihttps://doi.org/10.22514/sv.2020.16.0068
dc.identifier.urihttps://hdl.handle.net/20.500.12418/28673
dc.identifier.volume16
dc.identifier.wosWOS:000583292400011
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.language.isoen
dc.publisherMre Press
dc.relation.ispartofSigna Vitae
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectEmergency
dc.subjectChild thoracoabdominal trauma
dc.subjectFluid resuscitation
dc.subjectLactate
dc.subjectWound healing
dc.subjectMortality
dc.titleThe Effect of Lactate Level on Early Mortality and Late Wound Healing in Children with Thoracoabdominal Trauma with Fluid Treatment Before Hospital
dc.typeArticle

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