Relationship between initial arterial blood gases and coagulation profiles – analyzing the prognosis and outcomes in patients with multiple injuries/ trauma

Abstract

Purpose: Trauma is recognized as a significant health concern across the world. The increase in the mortality rate of multiple trauma (MT) patients serves as a major issue for health-care providers. The study investigates the relationship between the initial arterial blood gases and coagulation profiles among the multiple injured/trauma patients. Patients and Methods: A retrospective study design was used, and 137 acute trauma patients’ data were included from the King Abdullah University Hospital (KAUH) from 1 January 2014 to 1 October 2017. Results: The results showed that patients were mainly male (79.6%) and had RTA (71.5%). They had a normal pH (50.4%) and pCO2 (68.6%) while decreasing HCO3 (51.1%). An increasing level of pCO2 (45%) along with PT (28%), PTT (17%) and INR (23%) is observed. It also showed a decreasing level of platelets (39%). The overall findings showed a close association of the blood gases and coagulation indicators. Conclusion: The study concludes that to control the coagulation markers, the blood gases of the patients should be screened and monitored.