Original contributionBase deficit as an indicator of significant abdominal injury
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Cited by (99)
Hemorrhagic shock necessitating resuscitation and damage control surgery after needle biopsy: A report of two cases
2021, Trauma Case ReportsCitation Excerpt :After needle biopsy, the wound is extremely small, and so it is easy to overlook bleeding; bleeding is often found after complications ensue. Prolonged hemorrhagic shock causes the trauma triad of death: metabolic acidosis, hypothermia, and coagulopathy [3,4]. Mortality depends on the pathology of bleeding, so it is important to stop bleeding and transfuse before cardiopulmonary arrest.
Admission base deficit is superior to lactate in identifying shock and resuscitative needs in trauma patients
2020, American Journal of SurgeryCitation Excerpt :In 1988, Davis et al. noted that worsening BD was associated with lower initial systolic blood pressure, increased resuscitation requirements, ISS and mortality.4 Subsequent studies have also demonstrated an association between worsening BD and admission blood pressure, injury severity score, volume of resuscitation, blood transfusion, the presence of abdominal injury requiring surgical repair and mortality.6,7,16,17 In a study evaluating damage control resuscitation over a twenty year period, Hodgman et al. noted that “admission base deficit continues to be a remarkably consistent predictor of mortality … moreover, BD is a reliable predictor of the need for massive transfusion and should be used as an aid in clinical decision making for both the initiation and possibly the termination of a massive transfusion protocol”.18
FAST for blunt abdominal trauma: Correlation between positive findings and admission acid-base measurement
2017, American Journal of Emergency MedicineCitation Excerpt :A great degree of negative BD as a marker of metabolic imbalance and poor tissue perfusion can predict final related complications and mortality in the patients [10]. Previous investigations have evaluated the use of BD in blunt trauma [3,11-14]; however, to our knowledge, this study is the first study to assess the correlation between positive findings in FAST examination and BD measurement with regard to diagnosis of intra-abdominal bleeding following blunt abdominal trauma. We also aimed to analyze the predictive value of these factors and clinical variables on overall in-hospital mortality of the affected patients.
Is arterial base deficit still a useful prognostic marker in trauma? A systematic review
2016, American Journal of Emergency MedicineCitation Excerpt :The earlier 2 studies by Mackersie et al [15] and Davis et al [16] had defined intraabdominal injuries as injuries requiring surgical repair, whereas the later study by Mofidi et al [2] defined intraabdominal injuries as the presence of free fluid on ultrasonography, computed tomographic scan, or laparotomy or 7-day follow-up for abdominal symptoms. In the earlier studies, the OR for intraabdominal injuries was 1.74 if BD was more than 3 mmol/L [15] and 1.8 if BD was more than 6 mmol/L [16]. For every unit increase in BD, the OR for intraabdominal injury also increased by 1.107 times [16].
Measuring the physiologic response to traumatic injury
2015, Journal of Emergency Nursing
Presented at the Society for Academic Emergency Medicine Annual Meeting in Minneapolis, Minnesota, May 1990.