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Relationship Between Initial Arterial Blood Gases and Coagulation Profiles – Analyzing the Prognosis and Outcomes in Patients with Multiple Injuries/Trauma

Authors Raffee LA, Oteir AO, Alawneh KZ, Alustath AMI

Received 9 January 2020

Accepted for publication 25 March 2020

Published 15 April 2020 Volume 2020:12 Pages 87—92

DOI https://doi.org/10.2147/OAEM.S244941

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 2

Editor who approved publication: Dr Hans-Christoph Pape


Liqaa A Raffee,1 Alaa O Oteir,2 Khaled Z Alawneh,3 Alaa MI Alustath1

1Department of Accident and Emergency Medicine, Faculty of Medicine, Jordan University of Science and Technology, Irbid 22110, Jordan; 2Program of Paramedicine, Department of Allied Medical Sciences, Faculty of Applied Medical Sciences, Jordan University of Science and Technology, Irbid, Jordan; 3Department of Diagnostic Radiology and Nuclear Medicine, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan

Correspondence: Liqaa A Raffee
Department of Accident and Emergency Medicine, Faculty of Medicine, Jordan University of Science and Technology, Irbid 22110, Jordan
Tel +962 27200600-45030
Fax +962 27095777
Email laraffee5@just.edu.jo

Purpose: Trauma is recognized as a significant health concern across the world. The increase in the mortality rate of multiple trauma (MT) patients serves as a major issue for health-care providers. The study investigates the relationship between the initial arterial blood gases and coagulation profiles among the multiple injured/trauma patients.
Patients and Methods: A retrospective study design was used, and 137 acute trauma patients’ data were included from the King Abdullah University Hospital (KAUH) from 1 January 2014 to 1 October 2017.
Results: The results showed that patients were mainly male (79.6%) and had RTA (71.5%). They had a normal pH (50.4%) and pCO2 (68.6%) while decreasing HCO3 (51.1%). An increasing level of pCO2 (45%) along with PT (28%), PTT (17%) and INR (23%) is observed. It also showed a decreasing level of platelets (39%). The overall findings showed a close association of the blood gases and coagulation indicators.
Conclusion: The study concludes that to control the coagulation markers, the blood gases of the patients should be screened and monitored.

Keywords: acidosis, hemorrhagic shock, hypothermia, oxygen, resuscitative hemodilution

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