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ORIGINAL ARTICLE
Year : 2021  |  Volume : 10  |  Issue : 7  |  Page : 2625-2629

Diagnostic value of intravenous oxygen saturation compared with arterial and venous base excess to predict hemorrhagic shock in multiple trauma patients


1 Department of Emergency Medicine, Alborz University of Medical Sciences, Karaj, Iran
2 Department of Emergency Medicine, Faculty of Medicine, Mashhad University of Medical Science, Mashhad, Iran
3 Department of Surgery, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran
4 Department of Oral and Maxillofacial Radiology, School of Dentistry, Mashhad University of Medical Science, Mashhad, Iran
5 Researchers, General Practitioner, Alborz University of Medical Sciences, Karaj, Iran
6 Department of Emergency Medicine, Yazd University of Medical Sciences, Yazd, Iran

Correspondence Address:
Dr. Mehran Bahramian
Department of Emergency Medicine, Alborz University of Medical Sciences, Karaj
Iran
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jfmpc.jfmpc_2047_20

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Introduction: In this study, with the help of peripheral vein sampling, Spvo2, and peripheral artery and vein sampling, we examined base excess (BE) in trauma patients and determined its diagnostic value for hemorrhagic shock. Methods: In this cross-sectional study, from 64 patients with abdominal, pelvic and chest Blunt trauma who have a score of 2 or higher trauma during treatment, blood samples were taken from peripheral vein to measure oxygen saturation and peripheral vein and artery for BE measurements and were compared in order to assess their diagnostic value in predicting the occurrence of hemorrhagic shock. Results: Out of 60 examined patients, 43 (71.67%) patients were diagnosed with hemorrhagic shock. The correlation for the percentage of oxygen saturation of the peripheral blood and the rate of arterial and venous BE for these r2 patients were 17.0 and 09.0, respectively, with a P value greater than 0.005. In the case of the percentage of oxygen saturation of the peripheral blood, the sensitivity and specificity were 93.03 and 11.76%, respectively. The positive and negative likelihood ratios were 1.05 and 0.59, respectively. The positive and negative predictive values were 72.73 and 40%, respectively. Conclusion: In general, the results of this study showed that arterial and venous excess base levels had a proper correlation, specificity and sensitivity for diagnosing and predicting hemorrhagic shock, while the percentage of oxygen saturation of peripheral blood and BE arterial and venous levels had not proper correlation to detect and predict hemorrhagic shock.


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