외상성 뇌손상으로 감압 두개골 절개술을 시행 받는 환자에서 혈중 lactate 값과 사망률의 상관관계The relationship between the serum lactate level and in-hospital mortality after decompressive craniectomy in traumatic brain Injury
- Other Titles
- The relationship between the serum lactate level and in-hospital mortality after decompressive craniectomy in traumatic brain Injury
- Authors
- 정월선; 이동철; 장영진; 박춘곤; 조윤이
- Issue Date
- Jul-2015
- Publisher
- 대한마취통증의학회
- Keywords
- Mortality; Serum lactate; Traumatic brain injury
- Citation
- Anesthesia and Pain Medicine, v.10, no.3, pp.192 - 195
- Journal Title
- Anesthesia and Pain Medicine
- Volume
- 10
- Number
- 3
- Start Page
- 192
- End Page
- 195
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/11459
- ISSN
- 1975-5171
- Abstract
- Background: The patients with traumatic brain injury showed ischemia due to increased intracranial pressure. This study evaluated the relationship of pre-anesthetic serum lactate level with in-hospital mortality.
Methods: The archived medical records of 121 patients were retrospectively reviewed. Demographics and preoperative serum lactate level were analyzed.
Results: Of the 121 patients, 32 patients expired in the hospital after decompressive craniectomy. Preoperative serum lactate levels were 3.2 ± 2.2 mmol/L in the survivors and 5.4 ± 3.0 mmol/L in the dead (P = 0.001), and the receiver operating characteristic curve revealed that a cut off value of 3.60 mmol/L was reasonable for predicting mortality.
Conclusions: Preoperative serum lactate level is highly correlated with in-hospital mortality after decompressive craniectomy in traumatic brain injury.
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