چکیده مقاله
Background: Trauma is an important cause of disability and death in young people This study aimed to investigate the association between serum lactate level and in hospital mortality in multi traumatic children Method: In this cross sectional study, all children with multi trauma admitted to the emergency department in Shohada and Imam Reza hospitals of Tabriz/Iran were evaluated from 2018 to 2020 At the time of admission to the emergency department, serum lactate, PRISM Pediatric risk of mortality score, and other findings as well as outcome were checked and correlated with the outcomes for all patients Patients were classified into two groups based on outcome and six groups based on lactate levels to evaluate associations between results The Chi square test, independent samples t test, ANOVA, and multivariate logistic regression test were performed in SPSS 22 Pvalue0 05 and OR with 95% confidence interval were considered statistically significant Result: Out of 110 admitted children, 10 9% died in hospital Mean lactate level was 3 2 mmol/l and 85 patients 77 2% had lactate level2 mmol/l millimoles The initial blood lactate level was directly correlated with mortality This relationship was confirmed even after adjusting for variables such as the PRISM score OR = 1 27; 95% CI, 1 19 1 35; P 0 001 Multiple regression study showed that a high lactate level OR=1 17; 95% CI, 1 07 1 29; P=0 001 , high PRISM score OR = 1 15; 95% CI, 1 11 1 20; P0 001 , and low albumin level OR =0 92; 95% CI, 0 88 0 96; P0 001 were independent risk factors for mortality Conclusion: High blood lactate level was an independent factor in the increase of mortality rate in the emergency department
نویسندگان
Amir Hossein Jafari-Rouhi
Tuberculosis and Lung Diseases Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
Leila Vahedi
Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
شیوه ارجاع
Jafari-Rouhi, Amir Hossein and Vahedi, Leila,1404,Association between Serum Lactate Level and Hospital Outcome in Children with Multi-Trauma Emergency,37th International Congress on Pediatrics,Tehran
ارائهشده در
مجموعه مقالات سی و هفتمین کنگره بیماری های کودکان17 مهر 1404 · تهران