Impact of infusion therapy programs on homeostasis indicators in patients suffering from shockogenic trauma from the point of view of statistical reliability


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Abstract

From the point of view of statistical reliability, the influence of various infusion therapy programs on homeostasis indicators of patients suffering from shockogenic trauma is considered. It has been revealed that when entering the intensive care and intensive care department in patients suffering from severe traumatic shock, against the background of algorithms of anti-shock measures at the pre-emergency and hospital stages there are significant individual intervals of examined homeostasis parameters, which indicates expressed personalized disorders of indicators of reflecting function of organs and systems of patients. The variation in the canonical space of the investigated parameters in patients increased after 12 hours, after admission to the intensive care and resuscitation department. Anti-shock therapy contributed to the fact that the distribution of patients of all three groups in the canonical space after the first 24 hours was dynamically compacted, indicating a decrease in differences between patients of each group during the treatment process. Cluster analysis and multi-dimensional scaling revealed the multilateral dynamics of the relationship between independent variables in various infusion therapy programmes. When patients were admitted to the intensive care and intensive care unit, almost the same orientation of the features of connections between independent variables was noted, however, their polarity was recorded during the treatment process. This shows that the infusion therapy program in patients suffering from severe traumatic shock should be carried out taking into account the dynamics of individual disorders of the investigated homeostasis parameters. It has been statistically proven that different infusion therapy programs have very different effects on homeostasis rates. The use of sterofundin isotonic and 4% modified gelatin in this category of patients has been proven to be the most effective and safe volemic recovery scheme.

About the authors

S. S. Stepanov

Omsk State Medical University

Author for correspondence.
Email: agirsh@mail.ru
Russian Federation, Omsk

A. O. Girsh

Omsk State Medical University

Email: agirsh@mail.ru
Russian Federation, Omsk

M. M. Stukanov

Ambulance station

Email: agirsh@mail.ru
Russian Federation, Omsk

G. V. Leonov

Ambulance station

Email: agirsh@mail.ru
Russian Federation, Omsk

A. I. Malyuk

City Clinical Hospital № 1 named. A.N. Kabanova

Email: agirsh@mail.ru
Russian Federation, Omsk

R. V. Eselevich

Omsk State Medical University

Email: agirsh@mail.ru
Russian Federation, Omsk

K. K Kozlov

Omsk State Medical University

Email: agirsh@mail.ru
Russian Federation, Omsk

References

Supplementary files

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2. Fig. 1. Distribution of patients of the 1st, 2nd and 3rd groups in the canonical space at admission, after 12 hours and after 1 day

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3. Fig. 2. Cluster analysis and MMS of independent variables of patients of the compared groups at admission

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4. Fig. 3. Cluster analysis and MMS of independent variables of patients of the compared groups after 12 hours

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5. Fig. 4. Cluster analysis and MMS of independent variables of patients of the compared groups after 2 days

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Copyright (c) 2020 Stepanov S.S., Girsh A.O., Stukanov M.M., Leonov G.V., Malyuk A.I., Eselevich R.V., Kozlov K.K.

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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

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