Feasibility of Lactate Level Evaluation in Prehospital Care in Trauma
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 30
- 主要终点
- Feasibility of lactate level measurement
研究概览
简要总结
Capillary or venous lactate level evaluation in prehospital care could be simple and beneficial tool for optimising prehospital care in patients with severe trauma.
详细描述
Evaluation of blood lactate level and its trend are important morbidity and mortality predictive factors. In prehospital care, lactate level is more sensitive marker and have better prognostic value in severe trauma than basic vital signs. Worse outcome is associated with levels between 2 - 4 mmol/l. Measurement of lactate level in venous or capillary blood is quick and simple method with minimal risks and with no special needs for medical staff training. In spite of good availability of this method in the Czech Republic the method feasibility has never been analysed in patients with severe trauma.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •patient having / suspected to have severe trauma treated by cooperating Emergency Medical System organization
排除标准
- •possible alterations of plasma lactate level in the time of trauma (seizure, malignity, use of beta-2 agonists, severe liver and/or kidney failure, ketoacidosis, intoxication)
结局指标
主要结局
Feasibility of lactate level measurement
时间窗: 1 day - the time the patient is treated by Emergency Medical System
Proportion of subjects with measured and recorded prehospital lactate level
次要结局
未报告次要终点
研究者
Marcela Bilska
Dr.
Masaryk Hospital Usti nad Labem