Citation

Nast-Kolb D, Waydhas C, Jochum M, Duswald KH, Machleidt W, Spannagl M, Schramm W, Fritz H, Schweiberer L. Unfallchirurg 1992; 95(2): 59-66.

Vernacular Title

Biochemische Faktoren als objektive Parameter zur Prognoseabschätzung beim Polytrauma.

Affiliation

Chirurgische Klinik und Poliklinik, Ludwig-Maximilians-Universität München.

Copyright

(Copyright © 1992, Holtzbrinck Springer Nature Publishing Group)

DOI

unavailable

PMID

1373915

Abstract

One hundred patients with multiple injuries (mean ISS 37 patients) were prospectively evaluated over a period of 14 days following trauma. Significant differences in the blood levels of PMN elastase, cathepsin B, lactate, neopterin, C-reactive protein (CRP) and antithrombin III (ATIII) were found in non-survivors and in survivors with and without organ failure. On admission, a prediction of organ failure was possible with an accuracy of 63% to 69% (PMN elastase, cathepsin B, ATIII). Death was predictable with an 80% to 90% accuracy within the first 4 days (PMN elastase, lactate, CRP, neopterin). The prognostic value of these factors was comparable to trauma scores regarding organ failure and better with respect to death. Biochemical parameters may be helpful in estimating the severity of the injury and prognosis and in monitoring the ICU course of such patients.

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