Assessment of inferior vena cava/abdominal aorta diameter index in classification of traumatic patients with hemorrhagic shock

Abstract

Intravascular volume, in other words, effective circulation volume, is the most important factor in determining the hemodynamic status of patients. The amount of body need for fluid can be estimated by clinical examinations, pulse and blood pressure changes and urine control. In this study, we examined the relationship between inferior vena cava diameter and aortic diameter in the classification of hemorrhagic shock trauma patients in the emergency department of Tabriz University of Medical Sciences. Materials and Methods: This cross-sectional study was carried out to determine the relationship between Inferior Vena Cava diameter and aortic diameter in the classification of patients with traumatic hemorrhagic shock referred to the emergency department of Imam Reza Hospital in Tabriz. The criteria for entering the study included all cases of traumatic hemorrhagic shock trauma to Emergency Hospital of Tabriz Imam Hospital. Exclusion criteria included the underlying liver, cardiovascular, and coexisting dehydration. Results: In this study, 69 patients with hemorrhagic shock trauma who referred to Emergency Hospital of Tabriz were admitted to the study. 58 (84.1%) were men and 11 women (15.9%) were women. The mean age of the patients was 36.36 ± 12.37 years. The highest percentage recorded for the primary complaints of accidents for patients, the highest rate of injury damage in patients studied is reversal type. In a separate study for calculated indexes and their correlation with the severity of shock classified for patients, there was no significant relationship between shock intensity according to the category (all p-values were greater than 0.05).