I have greatly enjoyed reading the recently published article by Seo et al. [
[1]
]. In this study, the authors examined the association between hypoxia level and outcomes
according to shock status in traumatic brain injury (TBI) patients. They found that
the mortality rates were 49.4% in severe hypoxia, 30.7% in mild hypoxia, 18.5% in
normoxia. Mortality rates were 47.1% in TBI patients with shock status and 20.5% in
non-shock TBI patients. There was a trend toward worsened outcomes with mild and severe
hypoxia in patient with and without shock, however, the only met statistical significance
for patients with both severe hypoxia and non-shock status. These results suggested
that, in patients already suffering hypotension, hypoxia did not add any significant
effect.- Seo D.E.
- Shin S.D.
- Song K.J.
- Ro Y.S.
- Hong K.J.
- Park J.H.
Effect of hypoxia on mortality and disability in traumatic brain injury according
to shock status: a cross-sectional analysis.
Am J Emerg Med. 2018 Dec 20; ([pii:S0735-6757(18)30984-7])https://doi.org/10.1016/j.ajem.2018.12.022
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References
- Effect of hypoxia on mortality and disability in traumatic brain injury according to shock status: a cross-sectional analysis.Am J Emerg Med. 2018 Dec 20; ([pii:S0735-6757(18)30984-7])https://doi.org/10.1016/j.ajem.2018.12.022
- Hypoxia and hypotension, the “lethal duo” in traumatic brain injury: implications for prehospital care.Intensive Care Med. 2008 Mar; 34 ([Epub 2007 Oct 16]): 402-404
- The effect of combined out-of-hospital hypotension and hypoxia on mortality in major traumatic brain injury.Ann Emerg Med. 2017 Jan; 69 ([Epub 2016 Sep 28]): 62-72https://doi.org/10.1016/j.annemergmed.2016.08.007
Article Info
Publication History
Published online: January 22, 2019
Accepted:
January 19,
2019
Received in revised form:
January 19,
2019
Received:
January 14,
2019
Identification
Copyright
© 2019 Elsevier Inc. All rights reserved.