Multiorgan failure in the serious trauma patient

J A Llompart-Pou; M Talayero; J Homar; C Royo; Grupo de trabajo de Trauma y Neurointensivismo de SEMICYUC

doi:10.1016/j.medin.2014.05.004

Multiorgan failure in the serious trauma patient

Med Intensiva. 2014 Oct;38(7):455-62. doi: 10.1016/j.medin.2014.05.004. Epub 2014 Aug 1.

[Article in English, Spanish]

Authors

J A Llompart-Pou¹, M Talayero², J Homar³, C Royo³; Grupo de trabajo de Trauma y Neurointensivismo de SEMICYUC

Affiliations

¹ Servei de Medicina Intensiva, Hospital Universitari Son Espases, Palma de Mallorca, España. Electronic address: juanantonio.llompart@ssib.es.
² Unidad de Cuidados Intensivos de Trauma y Emergencias, Servicio de Medicina Intensiva, Hospital Universitario 12 de Octubre, Madrid, España.
³ Servei de Medicina Intensiva, Hospital Universitari Son Espases, Palma de Mallorca, España.

PMID: 25087624
DOI: 10.1016/j.medin.2014.05.004

Abstract

Multiorgan failure remains one of the leading causes of late morbidity and mortality after severe trauma. In the early phase, it is related with an uncontrolled hyper-inflammation state, whereas in the late phase (>72 h), septic complications play a major role. We review the underlying pathophysiology, the evaluation with different scales and the clinical factors associated with multiorgan failure, as well as potential treatment options.

Keywords: Clinical scales; Escalas clínicas; Fallo multiorgánico; Multiorgan failure; Severe trauma; Trauma grave.

Publication types

Review

MeSH terms

Humans
Injury Severity Score
Multiple Organ Failure / diagnosis
Multiple Organ Failure / etiology*
Multiple Organ Failure / physiopathology
Multiple Organ Failure / therapy
Wounds and Injuries / complications*