From: Determinants of prehospital lactate in trauma patients: a retrospective cohort study
Lactate (mmol/l) | Lactate > 2.5 mmol/l | |||
---|---|---|---|---|
r [95%CI] | p | r [95% CI] | p | |
Biometric data | ||||
Age (y) | .01 [−.15–.16] | .974 | −.04 [−.24–.17] | .643 |
Gender (n,%male) | −.03 [−.18–13] | .758 | −.02 [−.17–.14] | .844 |
Injury/disease characteristics | ||||
Mechanism | .09 [−.07–.25] | .255 | .05 [−.10–.21] | .500 |
Nr Body regions affected | .11 [−.05–.26] | .176 | .10 [−.06–25] | .220 |
Head (n,%) | .22 [.07–.37] | .006 | .22 [.07–.37] | .006 |
Chest (n,%) | .01 [−.15–.16] | .950 | −.06 [−.21–.10] | .495 |
Abdomen (n,%) | −.03 [−.19–.13] | .718 | −.02 [−.18–.14] | .782 |
Limb (n,%) | −.03 [−.19–.13] | .688 | .01 [−.15–.17] | .915 |
999-lactate sample (min) | .12 [−.04–.27] | .197 | .07 [−.09–.23] | .422 |
Indices of end-organ perfusion and oxygenation | ||||
Palpable radial pulse [y] | −.29 [−.42--.14] | <.001 | −.17 [−.31--.01] | .038 |
SBP (mmHg) | −.31 [−.44--.16] | <.001 | −.28 [−.42--.13] | .001 |
HR (bpm) | .21 [.06–.36] | .011 | .19 [−.34–0.03] | .023 |
Shock index | .35 [.20–.48] | <.001 | .34 [.19–.47] | <.001 |
First EtCO2 (kPa) | −.16 [−.31–.01] | .101 | −.08 [−.24–.08] | .392 |
SpO2 | −.24 [−.38--.08] | .005 | −.19 [−.34--.03] | .024 |
Treatments before HEMS | ||||
Circ and resp. support | ||||
Adrenalin | .11 [−.04–.27] | .155 | .09 [−.06–.25] | .254 |
IV fluids | .17 [.01–.31 | .040 | .16 [.01–.31] | .046 |
Pain relieving interventions | ||||
IVP and/or morphine | −.24 [−.38--.09] | .003 | −.19 [−.33--.03] | .021 |
IVP | −.18 [−.32--.02] | .027 | −.17 [−.31--.01] | .039 |
Morphine | −.16 [−.31–.01] | .040 | −.09 [−.24–.07] | .288 |
Reduction or splintinga | .10 [−.06–.25] | .227 | .11 [−.04–.27] | .161 |
Haemostatic interventions | ||||
Pelvic splint | .05 [−.10–.21] | .502 | .05 [−.11–.20] | .576 |
Compression bandage or tourniquet | −.12 [−.27–.01 | .126 | −.07 [−.22–.09] | .384 |
TXA | .12 [−.04–.27] | .147 | .09 [−.07–.24] | .278 |