Akademik Veri Yönetim Sistemi
24th European Congress of Trauma and Emergency Surgery, Aachen, Almanya, 13 Nisan 2025 - 15 Şubat 2026, ss.206-207, (Özet Bildiri)
Objective: Narrowed pulse pressure (PP) (systolic blood pressure [SysTA] – diastolic blood pressure [DysTA]) is an indicator of potential hemodynamic instability. Our main aim by conducting this study is to investigate whether penetrating trauma patients who are hemodynamically stable (with SysTA ≥ 90 mmHg) and presenting with a narrowed PP (PP < 40 mmHg) require more blood product transfusions compared to those with normal PP (PP ≥ 40 mmHg). Methods: The medical records of hemodynamically stable penetrating trauma patients who admitted to our trauma department between April 2017 and December 2021 were reviewed. Patients were divided into two groups according to their pulse pressure. Patients with narrowed PP (PP < 40 mmHg) were compared to those with normal PP (PP ≥ 40 mmHg) in terms of blood product transfusion requirements. Results: Out of 196 hemodynamically stable penetrating trauma patients, 47 (24%) had narrowed PP, and 149 (76%) had normal PP. Among the narrowed PP group, 23 (48.9%) required blood product transfusions, whereas 39 (26.2%) in the normal PP group required transfusions. Conclusion: Narrowed pulse pressure serves as an early indicator of ongoing bleeding and is significantly associated with an increased need for blood product transfusions in hemodynamically stable penetrating trauma patients. Keywords: Penetrating trauma, Pulse pressure, Hemodynamic stability