Differences between blunt and penetrating trauma after resuscitation with hydroxyethyl starch

Abstract

Epidemiologic study, level III.

Synthetic colloid resuscitation in severely injured patients: analysis of a nationwide trauma registry (TraumaRegister DGU)

“…Our data also shows that that the adverse effects of synthetic colloids on renal function and coagulation did not differ between age groups, in contrast to findings of previous smaller studies 7 , 10 – 13 . Furthermore, synthetic colloid use decreased continuously since 2008, and this decrease was associated with a parallel decrease in overall fluid intake.…”

Association of Early, High Plasma-to–Red Blood Cell Transfusion Ratio With Mortality in Adults With Severe Bleeding After Trauma

“…In their clinical presentation, management, and outcomes, blunt trauma and penetrating trauma present substantial differences. 59 In contrast to military studies or to civilian studies performed in the United States, 25,44,49,57 penetrating trauma only accounted for 15% of the injury mechanisms in our population. In our series, the proportion of penetrating trauma is close to that observed in the German trauma registry (10%).…”

Association of Mechanism of Injury With Risk for Venous Thromboembolism After Trauma

“…All statistical analyses were performed using SPSS Statistics, version 22.0 (IBM Corp). Categorical variables are expressed as frequency (percentage) and compared between groups using χ 2 or Fisher exact test, as appropriate. Parametric data are expressed as mean (SD) and compared using t tests for 2 independent samples.…”

“…However, advanced trauma life support guidelines do not distinguish management based on the mechanism of injury. 1 Several studies have found significantly different outcomes between patients who experienced blunt and penetrating trauma who were resuscitated to similar end points, [2][3][4][5] even when severity of the injuries are closely matched. [6][7][8][9][10][11][12] Venous thromboembolism (VTE) is a significant cause of late morbidity and mortality after trauma 13 despite thromboprophylaxis.…”