Correlation Between Degrees of Trauma and Volume of Rescission Fluids with Acute Coagulopathy in Multiple Trauma Patients at Prof. Dr. I.G.N.G Ngoerah Denpasar Hospital

I Wayan Edi Subandi¹, I Wayan Periadijaya^2*, I Wayan Niryana³, Ketut Wiargitha⁴, and Sri Maliawan³

Abstract

Background: Coagulopathy that occurs in trauma is known as Trauma Induced Coagulopathy (TIC). 1 in 7 deaths caused trauma, and 30% of all trauma patients who came to the hospital were in TIC condition. Prof. Dr IGNG Ngoerah Denpasar Hospital reported that coagulopathy occurred in 24 (39.3%) of 61 multiple trauma patients. Objective: Proving the correlation between the degree of trauma and volume of resuscitation fluid with the incidence of acute coagulopathy due to multiple trauma. Method: A retrospective cohort study conducted at Prof. Dr IGNG Ngoerah Denpasar Hospital with secondary data in a medical record from January 2020-December 2021. This study’s data analysis consisted of univariate, bivariate, and multivariate analysis using SPSS IBM version 23. Results: There were 100 subjects where 40 respondents had coagulopathy, the median age was 33.5 years, the male gender was 80%, and the most type of trauma was a head injury. The results of the degrees of trauma with a NISS score (New Injury Severity Score) ≥ 41 increases the incidence of coagulopathy 17.7 times with p<0.001 of resuscitation fluid is more than 2 litres increases the risk of developing coagulopathy 27 times in multiple trauma patients with p<0.001. In addition, class 3-4 bleeding classification ATLS is known to be 17 times at risk of coagulopathy with p<0.001. Conclusion: There is a statistically significant correlation between an increase in the degree of trauma and NISS️≥ 41 and the volume of resuscitation

Keywords

coagulopathy; fluid resuscitation; fluid volume; multiple trauma; NISS.

Cite This Article

Subandi, I. W. E., Periadijaya, I. W., Niryana, I. W., Wiargitha, K., Maliawan, S. (2023). Correlation Between Degrees of Trauma and Volume of Rescission Fluids with Acute Coagulopathy in Multiple Trauma Patients at Prof. Dr. I.G.N.G Ngoerah Denpasar Hospital. International Journal of Scientific Advances (IJSCIA), Volume 4| Issue 4: Jul-Aug 2023, Pages 623-627, URL: https://www.ijscia.com/wp-content/uploads/2023/08/Volume4-Issue4-Jul-Aug-No.483-623-627.pdf

Volume 4 | Issue 4: Jul-Aug 2023