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Qualification: Lactic Acid as a Prognostic Tool in the Patient with Severe Trauma

Introduction: The severe polytraumatized patient is defined as that individual who presents two or more severe traumatic injuries, whether peripheral or visceral, which lead to respiratory or circulatory repercussions and put life at risk. Acidosis, hypothermia and coagulopathy called the "deadly triad" develops as a consequence of the metabolic changes induced by polytraumatism, are difficult to assess, diagnose and treat, since they present a high vital risk, for which reason requires rapid, complex and multidisciplinary diagnosis and treatment; through consecutive and ordered steps, based on the condition of each one of them. The persistent elevation of lactic acid levels has proven to be a useful marker to establish the incidence of mortality in certain entities. Objective: To determine the prognostic value of lactic acid in patients with severe trauma. Methods: Descriptive, longitudinal, prospective study during the period between January 2018 and December 2020, with a universe of 21 patients, theoretical and empirical methods were applied. As main Results: There was a predominance of the male sex in 71.4% in the ages between 21 and 40 years, 42.9% had a moderate behavior in relation to hierlactacidemia, the complications and the state at discharge were evidenced. in a positively proportional way, not so the base excess and the stay. Conclusions: LA is a prognostic biochemical marker to be taken into account in the evolution of polytraumatized patients.

Polytraumatized Patient, Lactic Acid, Hyperlactatemia

APA Style

Mara Veronica Alvarez Valdes, Yali Libertad Bordies Lavin, Alberto Denis Perez. (2023). Qualification: Lactic Acid as a Prognostic Tool in the Patient with Severe Trauma. Pathology and Laboratory Medicine, 7(1), 18-23.

ACS Style

Mara Veronica Alvarez Valdes; Yali Libertad Bordies Lavin; Alberto Denis Perez. Qualification: Lactic Acid as a Prognostic Tool in the Patient with Severe Trauma. Pathol. Lab. Med. 2023, 7(1), 18-23. doi: 10.11648/j.plm.20230701.14

AMA Style

Mara Veronica Alvarez Valdes, Yali Libertad Bordies Lavin, Alberto Denis Perez. Qualification: Lactic Acid as a Prognostic Tool in the Patient with Severe Trauma. Pathol Lab Med. 2023;7(1):18-23. doi: 10.11648/j.plm.20230701.14

Copyright © 2023 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License ( which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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