Acid-Base disorders as predictors of early outcomes in major Trauma in a resource limited setting: An observational prospective study

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dc.contributor.authorAsiimwe, Ian S.
dc.contributor.authorWangoda, Robert
dc.contributor.authorKwizera, Arthur
dc.contributor.authorMakobore, Patson
dc.contributor.authorGalukande, Moses
dc.date.accessioned2022-05-27T14:38:10Z
dc.date.available2022-05-27T14:38:10Z
dc.date.issued2014
dc.description.abstractMortality from trauma remains a major challenge despite recent substantial improvements in acute trauma care. In trauma care patient resuscitation to correct hypotension from volume loss still majorly relies on use of physiological parameters such as blood pressure, pulse rate, respiratory rate, urine output and oxygen saturation. In resource limited settings these methods may not be sufficient to detect occult tissue hypoxia and the accompanying metabolic derangements. Methods: A prospective observational study carried out at a level I urban Trauma centre; Accident and Emergency unit. Major trauma patients were consecutively recruited into the study. Venous blood samples were drawn foranalysis of serum electrolytes, serum PH and anion gap. The venous blood gas findings were correlated with patients' clinical outcome at two weeks. Ethical approval was obtained. Results: Ninety three major trauma patients were recruited, patients' age ranged from 12 months to 50 years. Forty nine patients (53%) were acidotic (PH less than 7.32), 39 patients (42%) had low bicarbonate (bicarbonate level less than 21 mmol), 54 patients (58%) had high corrected anion gap (anion gap corrected of 16 or more). Fourteen patients (15%) developed secondary organ failure and 32 (34%) patients died. Conclusion: Metabolic acidosis is common among major trauma patients, its severity may be related to delay in initiating care. Acid base derangements were predictors of mortality among major trauma patients in this resource limited settingen_US
dc.identifier.citationAsiimwe, I. S., Wangoda, R., Kwizera, A., Makobore, P., & Galukande, M. (2014). Acid-base disorders as predictors of early outcomes in major trauma in a resource limited setting: an observational prospective study. Pan African Medical Journal, 17(1).doi:10.11604/pamj.2014.17.2.2007en_US
dc.identifier.issn1937- 8688
dc.identifier.otherdoi:10.11604/pamj.2014.17.2.2007
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/3582
dc.language.isoenen_US
dc.publisherPan African Medical Journalen_US
dc.subjectMajor traumaen_US
dc.subjectanion gapen_US
dc.subjectearly outcomeen_US
dc.subjectorgan failureen_US
dc.subjectacidosisen_US
dc.titleAcid-Base disorders as predictors of early outcomes in major Trauma in a resource limited setting: An observational prospective studyen_US
dc.typeArticleen_US
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