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A better way of estimating blood loss

Date:
March 6, 2013
Source:
BioMed Central Limited
Summary:
Research suggests that there may be a better way of measuring blood loss due to trauma than the current method, finds a new article. The study shows that base deficit (BD) is a better indicator of hypovolemic shock than the Advanced Trauma Life Support (ATLS) classification, which uses a combination of heart rate, systolic blood pressure and the Glasgow Coma Scale.

Research suggests that there may be a better way of measuring blood loss due to trauma than the current method, finds an article in BioMed Central's open access journal Critical Care. The study shows that base deficit (BD) is a better indicator of hypovolemic shock than the Advanced Trauma Life Support (ATLS) classification, which uses a combination of heart rate, systolic blood pressure and the Glasgow Coma Scale.

Using data from the TraumaRegister DGU® 16,305 patients injured between 2002 and 2010 were classified according to BD and then assessed for demographics, injury characteristics, and transfusion and fluid requirements. Severity of injury, length of stay in ICU or in hospital, morbidity and mortality were all linked to BD. Increase in BD category was associated with worse hypotension, needing more blood, intubation and mechanical breathing.

When validated to the current ATLS classification BD was more accurate at predicting the patients who needed blood products, and the need for massive transfusions. BD was also better at predicting who was at highest risk of death.


Story Source:

The above story is based on materials provided by BioMed Central Limited. Note: Materials may be edited for content and length.


Journal Reference:

  1. Manuel Mutschler, Ulrike Nienaber, Thomas Brockamp, Arasch Wafaisade, Tobias Fabian, Thomas Paffrath, Bertil Bouillon, Marc Maegele, TraumaRegister Dgu. Renaissance of base deficit for the initial assessment of trauma patients: a base deficit-based classification for hypovolemic shock developed on data from 16,305 patients derived from the TraumaRegister DGU. Critical Care, 2013; 17 (2): R42 DOI: 10.1186/cc12555

Cite This Page:

BioMed Central Limited. "A better way of estimating blood loss." ScienceDaily. ScienceDaily, 6 March 2013. <www.sciencedaily.com/releases/2013/03/130305200314.htm>.
BioMed Central Limited. (2013, March 6). A better way of estimating blood loss. ScienceDaily. Retrieved September 17, 2014 from www.sciencedaily.com/releases/2013/03/130305200314.htm
BioMed Central Limited. "A better way of estimating blood loss." ScienceDaily. www.sciencedaily.com/releases/2013/03/130305200314.htm (accessed September 17, 2014).

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