Dr. Şule AKKÖSE1, Dr. Halil ÖZGÜÇ1, Dr. Ekrem KAYA3, Dr. Mehtap BULUT1, Dr. Erol ARMAĞAN1, Dr. RIFAT TOKYAY2

1 Uludağ Üniversitesi Tıp Fakültesi, İlk ve Acil Yardım ABD, BURSA
2 Uludağ Üniversitesi Tıp Fakültesi, Genel Cerrahi ABD, BURSA
319 Mayıs Üniversitesi Tıp Fakültesi, Genel Cerrahi ABD, SAMSUN


This study was performed to determine whether admission base deficit (BD) could be used to develop morbidity and mortality in hypovolemic trauma patients. 24 hypovolemic trauma patients were prospectively evaluated. Data collected included before initial resuscitation (1 .BD), BD after initial resuscitation (2.BD), shock index before initial resuscitation (1 .SI), shock index after initial resuscitation (2.SI), injury severity score (ISS), revised trauma score (RTS), Glasgow coma score (GCS), morbidity and mortality. Patients who developed morbidity and mortality (Group 1) and did not develop (Group 2) were compared. Twentyfour patients were entered in the study. Of these patients, 12 patients did not develop morbidity and mortality. Comparing Group 1 to Group 2, the 2.BD and 1.SI data were significantly different (p<0,05). IN conclusion, our study suggests that BD after initial resuscitation and ŞI before initial resuscitation are valuable prognostic indicator of morbidity and mortality.

Keywords: Hypovolemia, trauma, resuscitation, base deficit, shock index