Al-Thani H, El-Menyar A, Mekkodathil A, Taha I, Mahmood S, Shunni A, Hammo AA, Al-Ani M, Asim M. Significance of a hypotensive episode following traumatic injury: A retrospective observational study. World J Crit Care Med 2025; 14(3): 104778 [DOI: 10.5492/wjccm.v14.i3.104778]
Corresponding Author of This Article
Ayman El-Menyar, Professor, Department of Surgery, Hamad Medical Corporation, Al-Rayyan Street, Doha 3050, Qatar. aymanco65@yahoo.com
Research Domain of This Article
Critical Care Medicine
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Crit Care Med. Sep 9, 2025; 14(3): 104778 Published online Sep 9, 2025. doi: 10.5492/wjccm.v14.i3.104778
Significance of a hypotensive episode following traumatic injury: A retrospective observational study
Hassan Al-Thani, Ayman El-Menyar, Ahammed Mekkodathil, Ibrahim Taha, Saeed Mahmood, Adam Shunni, Abdel Aziz Hammo, Mushreq Al-Ani, Mohammad Asim
Hassan Al-Thani, Ayman El-Menyar, Ahammed Mekkodathil, Ibrahim Taha, Saeed Mahmood, Adam Shunni, Abdel Aziz Hammo, Mushreq Al-Ani, Mohammad Asim, Department of Surgery, Hamad Medical Corporation, Doha 3050, Qatar
Ayman El-Menyar, Department of Clinical Medicine, Weill Cornell Medicine, Doha 24144, Qatar
Author contributions: All authors contributed to the study design, data analysis and interpretation, and manuscript writing and approved the final manuscript; Asim M and Mekkodathil A analyzed the data, and El-Menyar A supervised and edited the manuscript.
Institutional review board statement: Ethical approval was obtained from the institutional review board (MRC-01-21-990) at the Medical Research Center, Hamad Medical Corporation (HMC), Doha, Qatar. Data was collected retrospectively and anonymously with no direct contact with the patients; therefore, a waiver of consent was granted.
Informed consent statement: A statement of informed consent was not required for this study.
Conflict-of-interest statement: Dr. El-Menyar has nothing to disclose.
Data sharing statement:
All data are presented in the manuscript. After a reasonable research request and signed data share agreement, further access needs approval from the medical research center at Hamad Medical Corporation.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ayman El-Menyar, Professor, Department of Surgery, Hamad Medical Corporation, Al-Rayyan Street, Doha 3050, Qatar. aymanco65@yahoo.com
Received: January 2, 2025 Revised: March 24, 2025 Accepted: May 7, 2025 Published online: September 9, 2025 Processing time: 199 Days and 5.1 Hours
Core Tip
Core Tip: Hypotension has been linked to an increased risk of mortality in trauma patients. Therefore, early diagnosis of the cause of bleeding and shock is crucial for hemodynamic optimization. There is a strong correlation between the need for surgery and a single episode of hypotension recorded during initial resuscitation. Shock or hypotension is an important sign of physiological deterioration that poses a significant risk of morbidity and mortality among young trauma patients. Acute respiratory distress syndrome is an independent predictor of mortality in hypotensive trauma patients. Hence, it is essential to consider a single episode of acute hypotension during triage, as this may prove physiologically detrimental with impaired organ perfusion and the worst outcome in trauma patients. Therefore, patients with a tendency to experience hypotensive episodes should be closely monitored.
