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Chirurgia 2019 October;32(5):240-4

DOI: 10.23736/S0394-9508.18.04916-1

Copyright © 2018 EDIZIONI MINERVA MEDICA

lingua: Inglese

Diagnostic value of serum lactate as a predictor and early outcome in multiple trauma patients

Farzad BOZORGI 1, Akbar HEDAYATIZADEH-OMRAN 2 , Reza ALIZADEH-NAVAEI 2, Iraj GOLI KHATIR 1, Omolbanin AMJADI 2, Mohammad KHADEMLOO 1, Amir A. BANIHASHEMI 1

1 Department of Emergency, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran; 2 Gastrointestinal Cancer Research Center, Mazandaran University of Medical Sciences, Sari, Iran



BACKGROUND: Blood lactate concentration can be predictive for physicians to evaluate traumatic damages.
METHODS: This study was conducted in Imam Khomeini Hospital, Sari, Mazandaran, Iran. The sample size includes 256 blunt multiple trauma patients who were admitted to the emergency department (ED). At first, blunt trauma patients who did not receive any type of treatment were selected. Prior to any treatment, dipstick testing was performed for evaluation serum lactate level among the study population.
RESULTS: Two hundred fifty-six subjects containing, 167 (65.2%) male and 89 (34.8%) female were included in our study. There was a significant difference between discharged patients with normal serum lactate level and cases who hospitalized in the Intensive Care Unit (ICU) with hyperlactatemia (P<0.0001).
CONCLUSIONS: Blood lactate levels can be used as a good predictor of trauma patients’ outcome. Evaluation of serum lactate with dipstick test is a new, easily accessed, and low-cost method for estimation of tissue injuries.


KEY WORDS: Multiple trauma; Lactic acid; Traffic accidents

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