Skip to main content

Main menu

  • Latest content
    • Latest content
  • Archive
  • About the journal
    • About the journal
    • Editorial board
    • Information for authors
    • FAQs
    • Thank you to our reviewers
    • The American Association for the Surgery of Trauma
  • Submit a paper
    • Online submission site
    • Information for authors
  • Email alerts
    • Email alerts
  • Help
    • Contact us
    • Feedback form
    • Reprints
    • Permissions
    • Advertising
  • BMJ Journals

User menu

  • Login

Search

  • Advanced search
  • BMJ Journals
  • Login
  • Facebook
  • Twitter
TSACO

Advanced Search

  • Latest content
    • Latest content
  • Archive
  • About the journal
    • About the journal
    • Editorial board
    • Information for authors
    • FAQs
    • Thank you to our reviewers
    • The American Association for the Surgery of Trauma
  • Submit a paper
    • Online submission site
    • Information for authors
  • Email alerts
    • Email alerts
  • Help
    • Contact us
    • Feedback form
    • Reprints
    • Permissions
    • Advertising
Open Access

Isolated prehospital hypotension correlates with injury severity and outcomes in patients with trauma

Clayton D Damme, Jiangtao Luo, Keely L Buesing
DOI: 10.1136/tsaco-2016-000013 Published 12 August 2016
Clayton D Damme
1University of Nebraska Medical Center, Omaha, Nebraska, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for Clayton D Damme
Jiangtao Luo
2Department of Biostatistics, University of Nebraska Medical Center, Omaha, Nebraska, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Keely L Buesing
3Department of General Surgery, Division of Trauma/Surgical Critical Care/Emergency General Surgery, University of Nebraska Medical Center, Omaha, Nebraska, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • eLetters
  • Info & Metrics
  • PDF
Loading

Article Figures & Data

Figures

  • Tables
  • Figure 1
    • Download figure
    • Open in new tab
    • Download powerpoint
    Figure 1

    Flow diagram illustrating breakdown of exclusion and inclusion criteria. ED, emergency department; HP, hypotensive; NP, normotensive.

Tables

  • Figures
  • Table 1

    Patient demographics

    Hypotensive patients (n=81)Normotensive patients (n=206)p Value
    SexFemale: 33
    Male: 48
    Female: 82
    Male: 124
    0.77
    Age38.8±2.751.1±1.6<0.0001
    Method of transportAmbulance: 62
    Helicopter: 19
    Police: 0
    Ambulance: 184
    Helicopter: 20
    Police: 2
    0.0078
    Injury mechanismBlunt: 73
    Burn: 1
    Penetrating: 7
    Blunt: 190
    Burn: 2
    Penetrating: 14
    0.7593
    Injury locationHead: 27
    Head, thorax: 2
    Head, appendage: 10
    Thorax: 4
    Back: 4
    Other: 34
    Head: 65
    Head, thorax: 11
    Head, appendage: 19
    Thorax: 10
    Back: 11
    Other: 90
    0.8649
    • Data are presented as mean±SE.

  • Table 2

    Injury severity data

    Hypotensive patientsNormotensive patientsp Value
    Average prehospital SBP99.11±1.75 mm Hg143.44±1.59 mm Hg<0.0001
    Average ED SBP132.65±1.39 mm Hg148.47±1.69 mm Hg<0.0001
    Average prehospital GCS12.81±0.4414.38±0.13<0.0001
    Average ED GCS12.78±0.4714.37±0.14<0.0001
    ISS12.27±1.129.22±0.49<0.0001
    • Data are presented as mean±SE.

    • ED, emergency department; GCS, Glasgow Coma Score; SBP, systolic blood pressure.

  • Table 3

    Outcomes data, hypotension defined as SBP ≤110 mm Hg

    Hypotensive patientsNormotensive patientsp Value
    ICU admissions56.79%22.82%<0.0001
    ICU LOS (days)3.23±0.710.71±0.17<0.0001
    Hospital LOS8.58±1.394.86±0.330.0105
    Ventilator days3.38±1.200.27±0.080.0001
    Repeat hypotensive episodes81.48%38.35%<0.0001
    PRBC in first 24 hours22%±8%6%±2%0.0114
    • Data are presented as mean±SE or percent (patients).

    • ICU, intensive care unit; LOS, length of stay; PRBC, packed red blood cells; SBP, systolic blood pressure.

  • Table 4

    Outcomes data, hypotension defined as SBP ≤90 mm Hg

    Hypotensive patients (n=20)Normotensive patients (n=272)p Value
    ICU admissions70%30.51%0.0008
    ICU LOS (days)100.0002
    Hospital LOS6.540.0011
    Ventilator days000.0024*
    Repeat hypotensive episodes85%48.53%0.0019
    PRBC in first 24 hours20%3.69%0.0105
    • Data are presented as median or percent (patients).

    • *HP were found to have significantly higher ventilator days compared to NP based on the Mann-Whitney-Wilcoxon test despite equivalent medians. Detailed explanation is provided in the Methods section.

    • ICU, intensive care unit; LOS, length of stay; PRBC, packed red blood cells; SBP, systolic blood pressure.

PreviousNext
Back to top
Email

Thank you for your interest in spreading the word on TSACO.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Isolated prehospital hypotension correlates with injury severity and outcomes in patients with trauma
(Your Name) has sent you a message from TSACO
(Your Name) thought you would like to see the TSACO web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Print
Alerts
Sign In to Email Alerts with your Email Address
Citation Tools
Isolated prehospital hypotension correlates with injury severity and outcomes in patients with trauma
Clayton D Damme, Jiangtao Luo, Keely L Buesing
Trauma Surg Acute Care Open Aug 2016, 1 (1) e000013; DOI: 10.1136/tsaco-2016-000013

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Cite This
  • APA
  • Chicago
  • Endnote
  • MLA
Loading
Isolated prehospital hypotension correlates with injury severity and outcomes in patients with trauma
Clayton D Damme, Jiangtao Luo, Keely L Buesing
Trauma Surg Acute Care Open Aug 2016, 1 (1) e000013; DOI: 10.1136/tsaco-2016-000013
Download PDF

Share
Isolated prehospital hypotension correlates with injury severity and outcomes in patients with trauma
Clayton D Damme, Jiangtao Luo, Keely L Buesing
Trauma Surgery & Acute Care Open Aug 2016, 1 (1) e000013; DOI: 10.1136/tsaco-2016-000013
del.icio.us logo Digg logo Reddit logo Twitter logo CiteULike logo Facebook logo Google logo Mendeley logo
Respond to this article
  • Tweet Widget
  • Facebook Like
  • Google Plus One
  • Article
    • Abstract
    • Background
    • Methods
    • Results
    • Discussion
    • Conclusions
    • Acknowledgments
    • Footnotes
    • References
  • Figures & Data
  • eLetters
  • Info & Metrics
  • PDF

Related Articles

Cited By...

More in this TOC Section

  • Intraoperative REBOA: an analysis of the American Association for the Surgery of Trauma AORTA registry
  • Opioid stewardship after emergency laparoscopic general surgery
  • Comparative analysis of isoform-specific and non-selective histone deacetylase inhibitors in attenuating the intestinal damage after hemorrhagic shock
Show more Original article

Similar Articles

 
 

CONTENT

  • Latest content
  • Archive
  • eLetters
  • Sign up for email alerts
  • RSS

JOURNAL

  • About the journal
  • Editorial board
  • Thank you to our reviewers
  • The American Association for the Surgery of Trauma

AUTHORS

  • Information for authors
  • Submit a paper
  • Track your article
  • Open Access at BMJ

HELP

  • Contact us
  • Reprints
  • Permissions
  • Advertising
  • Feedback form

©Copyright 2022 The American Association for the Surgery of Trauma