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J Res Clin Med. 2021;9(1): 14.
doi: 10.34172/jrcm.2021.014
  Abstract View: 192
  PDF Download: 174

Original Article

Are Aorta Artery Diameter and Inferior Vena Cava Diameter a Reliable Predictor index in Traumatic Patients with Hemorrhagic Shock?

Kavous Shahsavarinia 1 ORCID logo, Peyman Habibi 2, Ali Taghizadieh 3, Payman Moharamzadeh 4, Farzad Rahmani 4, Tahmoures PourSafar 4, Neda Gilani 5* ORCID logo

1 Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
2 Healthy Ageing Research Center, Neyshabur Univerdity of Medical Sciences, Neyshabur, Iran
3 Tuberculosis and Lung Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
4 Emergency Medicine Research Team, Tabriz University of Medical Sciences, Tabriz, Iran
5 Department of Statistics and Epidemiology, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran

Abstract


Background: Intravascular volume is the most important factor in determining patients' hemodynamic status. This present study aimed to assay the predictive value of aorta artery diameter and inferior vena cava (IVC) diameter in trauma patients with hemorrhagic shock.
Materials and Methods: This was a cross-sectional study conducted on 69 trauma patients who referred to Imam Reza Hospital in Tabriz. Inclusion criteria were all trauma patients with hemorrhagic shock. Patients with diseases such as liver disease,cardiovascular,coronary heart disease and concurrent dehydration were excluded. Odds ratios and Adjusted odds ratios for the risk of events were obtained using cumulative logit ordinal regression model with version 15 of Stata software.
Results: There were 58 men (84/1%) and 11 women (15/9%) with an average age of 36.4±12.4 year. Findings showed that for one unit increase in the diameter of the aorta by controlling the effect of other variables, the odds of mortality decreased for 2% compared with hospitalization in ward or intensive care unit (ICU). The reduction was also statistically significant (P=0.037). Furthermore, by modifying the effect of other variables, one unit increase in the diameter of IVC during inhale and exhale, increases the odds of hospitalization in ward or ICU.
Conclusion: This study showed that the diameter of the aorta and also the diameter of IVC during inhale and exhale can be used to predict the outcome of trauma patients with hemorrhagic shock and eventually to take steps for emergent and effective treatment.
Keywords: Hemorrhagic shock, Inferior Vena Cava, Ordinal Logistic Regression, Trauma
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Abstract View: 192

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PDF Download: 174

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Submitted: 29 Sep 2020
Accepted: 19 Oct 2020
ePublished: 18 Mar 2021
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