Abstract

In India, trauma is the leading cause of death. Early recognition of hemorrhagic shock and prompt therapy can improve outcomes. Lactate and base deficit are used as signs of shock and resuscitation. Objective: To determine the association of Base Deficit and lactate and its used to determine a patient's prognosis after trauma. Methods: Total 146 subjects with poly/isolated trauma with the possibility of hemodynamic compromise were included in this prospective observational analysis. An arterial blood gas sample was obtained within one hour of admission to the surgical emergency department. Both arterial lactate and baseline deficit were noted. Patients were followed throughout their hospital stay. Results: Patients in the index study had a mean baseline deficit and arterial lactate values of 5.071 mmol/L and 5.695 mmol/L, respectively. Overall, in chest and abdominal trauma patients in the current study, baseline deficit and arterial lactate levels at the time of admission were significant predictors of short-term outcomes such as the need for blood transfusion, length of hospital stay, and hospital mortality. Conclusion: Serum lactate and base deficit could be used as additional prognostic indicators for patients with chest and abdominal trauma.

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