The value of the difference between ED and prehospital vital signs in predicting outcome in trauma

Abstract

ΔSBP and ΔRR performed best overall, but ΔSI performed best in the moderate injury group, suggesting earlier identification with ΔSI. Use of Δ values result in good rule-in of 48 h mortality and may supplement trauma treatment decisions.

On-admission blood pressure and pulse rate in trauma patients and their correlation with mortality: Cushing's phenomenon revisited

“…[56] However, we did not identify any significant relationships involving RR. Possibly, the patients in this data set with respiratory depression were intubated early, and thereafter their RR was under control of the caregivers, not dependent on the patient's own depressed respiratory drive.…”

“…[567] BP, and other vital signs HR and respiratory rate have been shown to play an important role in the initial evaluation of trauma patients. [91011] SBP has been shown as an important clinical marker to indicate trauma severity and included in many trauma scoring systems.…”

“…[1234] Traditional vital signs (systolic blood pressure [SBP], heart rate [HR], and respiratory rate) can be measured noninvasively and has been routinely used for initial assessment of trauma patients. [567] This study takes a review of on admission blood pressure (BP), HR among trauma patients and their impact on in-hospital mortality.…”

Level of agreement between prehospital and emergency department vital signs in trauma patients

“…A recent study by Bruijns et al . using a large retrospective cohort from the Trauma Audit and Research Network showed that changes in SBP or RR between EMS and ED were predictors for early mortality in trauma …”

Documento multidisciplinar de consenso sobre el manejo de la hemorragia masiva (documento HEMOMAS)

“…En el paciente traumático debe determinarse secuencialmente la presión arterial (PA) sistólica (PAS), la frecuencia cardiaca (FC), la frecuencia respiratoria (FR) y calcular el índice de shock (IS = FC / PAS) tomados en el lugar del accidente y en el momento de la llegada del paciente al centro hospitalario. Las diferencias entre las mediciones, denominadas PAS y FC discriminan bien el pronóstico, pero es el IS lo que pronostica mejor la mortalidad a las 48 h en el grupo de lesiones moderadas, y por lo tanto ayuda más a las decisiones en el tratamiento [39][40][41][42] .…”