Bulletin of the Russian Military Medical AcademyBulletin of the Russian Military Medical Academy1682-73922687-1424Eco-Vector5004110.17816/brmma50041Research ArticleImpact of infusion therapy programs on homeostasis indicators in patients suffering from shockogenic trauma from the point of view of statistical reliabilityStepanovS. S.agirsh@mail.ruGirshA. O.agirsh@mail.ruStukanovM. M.agirsh@mail.ruLeonovG. V.agirsh@mail.ruMalyukA. I.agirsh@mail.ruEselevichR. V.agirsh@mail.ruKozlovK. Kagirsh@mail.ruOmsk State Medical UniversityAmbulance stationCity Clinical Hospital № 1 named. A.N. Kabanova15062020222273312112020Copyright © 2020, Stepanov S.S., Girsh A.O., Stukanov M.M., Leonov G.V., Malyuk A.I., Eselevich R.V., Kozlov K.K.2020<p>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.</p>traumatic shockshockogenic injuryhomeostasisinfusion therapycanonical spacecluster analysismultidimensional scalingsystematic statistical analysisтравматический шокшокогенная травмагомеостазинфузионная терапияканоническое пространствокластерный анализмногомерное шкалированиесистемный статистический анализ