Relationship between End-Tidal CO2 (ETCO2) and Lactate and their Role in Predicting Hospital Mortality in Critically Ill Trauma Patients; A Cohort Study

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Safari Elham; TORABI MEHDI

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Journal Paper

Paper Information

Journal: Bulletin of Emergency And Trauma Year:2020 | Volume:8 | Issue:2 Page(s): 83-88

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Title

Relationship between End-Tidal CO2 (ETCO2) and Lactate and their Role in Predicting Hospital Mortality in Critically Ill Trauma Patients; A Cohort Study

Author(s)

Safari Elham | TORABI MEHDI | Issue Writer Certificate

Keywords

Capnography

Hospital mortality

Lactate

Multiple trauma

Abstract

Objective: To investigate the relationship between end-tidal CO2 (ETCO2) and serum Lactate and their predictive role in Hospital mortality of intubated Multiple trauma patients. Methods: In a cohort study, intubated Multiple trauma patients who referred to the emergency department for two years were enrolled. After orotracheal intubation using Rapid Sequence Intubation (RSI) method, ETCO2 was immediately measured by Capnography. Blood samples for serum Lactate measurements were sent to the laboratory, immediately after intubation. Data collection was done using the questionnaire, and the patients were followed using their medical records. Results: Totally, 250 patients were included with Hospital mortality of 14. 8% (n=37). Using Pearson correlation, an inverse relationship was noticed between serum Lactate and ETCO2, immediately (p<0. 0001, r=-0. 65). In adjusted multivariate analysis, three variables including heart rate (HR), serum Lactate and ETCO2 showed a significant relationship with Hospital mortality, respectively (p=0. 007, p=0. 009, p=0. 023, respectively). Receiver operating characteristic curve illustrated an area under the curve (AUC) of 0. 93, 0. 96, and 0. 97 for HR, Lactate, and ETCO2, respectively. Conclusion: ETCO2 post-intubation and serum Lactate may be considered as prognostic factors for intubated Multiple trauma patients referring to the emergency department, which can give the clinician an important clue in early prediction of the Hospital mortality.

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APA: Copy

Safari, Elham, & TORABI, MEHDI. (2020). Relationship between End-Tidal CO2 (ETCO2) and Lactate and their Role in Predicting Hospital Mortality in Critically Ill Trauma Patients; A Cohort Study. BULLETIN OF EMERGENCY AND TRAUMA BEAT, 8(2), 83-88. SID. https://sid.ir/paper/335163/en

Vancouver: Copy

Safari Elham, TORABI MEHDI. Relationship between End-Tidal CO2 (ETCO2) and Lactate and their Role in Predicting Hospital Mortality in Critically Ill Trauma Patients; A Cohort Study. BULLETIN OF EMERGENCY AND TRAUMA BEAT[Internet]. 2020;8(2):83-88. Available from: https://sid.ir/paper/335163/en

IEEE: Copy

Elham Safari, and MEHDI TORABI, “Relationship between End-Tidal CO2 (ETCO2) and Lactate and their Role in Predicting Hospital Mortality in Critically Ill Trauma Patients; A Cohort Study,” BULLETIN OF EMERGENCY AND TRAUMA BEAT, vol. 8, no. 2, pp. 83–88, 2020, [Online]. Available: https://sid.ir/paper/335163/en

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