| Accuracy of the Prehospital Index in identifying major hemorrhage in trauma victims. | |
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MedLine Citation:
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PMID: 10146304 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To determine the sensitivity of the Prehospital Index (PHI) in identifying patients with severe blood loss, a one-year review was conducted at a regional trauma facility. METHODS: The study population consisted of 217 consecutive trauma admissions (ages 3 to 88 years). Patients were managed using standard resuscitation techniques; blood transfusions were ordered at the discretion of attending physicians and did not follow any preplanned protocol. Medical records were examined to determine total blood requirements for each patient during the first 12 hours of hospitalization, the emergency department (ED) disposition, and final outcome of treatment. The following clinical variables were analyzed (unpaired t-test) to determine their value as predictors of blood loss: age, gender, mechanism of injury, initial vital signs, revised trauma score, PHI, and injury severity score. RESULTS: Forty-two percent (92 patients) received transfusions during the first 12 hours of hospitalization. The best predictor of blood loss was the Prehospital Index. Of the total group, 45% had a PHI greater than 3; 77% (75/98) of these patients required transfusion and received an average of 7.1 units of packed cells. Fifty-five percent (119/217) had a PHI less than or equal to 3; 86% (102/119) of these patients did not require transfusion. CONCLUSION: The data suggest that patients with PHI scores greater than 3 require close hemodynamic monitoring to rule out significant blood loss and may warrant immediate cross-matching on arrival to the ED. |
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Authors:
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J Jones; C Newman; J Krohmer; C Mattice |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Prehospital and disaster medicine Volume: 8 ISSN: 1049-023X ISO Abbreviation: Prehosp Disaster Med Publication Date: 1993 Jul-Sep |
Date Detail:
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Created Date: 1994-01-27 Completed Date: 1994-01-27 Revised Date: 2011-12-15 |
Medline Journal Info:
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Nlm Unique ID: 8918173 Medline TA: Prehosp Disaster Med Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 237-40 Citation Subset: T |
Affiliation:
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Emergency Medicine Residency Program and Trauma Registry, Butterworth Hospital, Michigan State University College of Human Medicine, Grand Rapids 49503. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Aged, 80 and over Blood Transfusion Child Child, Preschool Emergency Medical Services* Female Hemorrhage / diagnosis* Humans Male Middle Aged Trauma Severity Indices |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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