Abstract
Trauma in pregnancy is the leading cause of non-obstetrical maternal death and remains a major cause of fetal demise. The objective of this study was to examine the outcomes of pregnant patients sustaining abdominal injury. This is a retrospective analysis of all pregnant trauma patients admitted to two level 1 trauma centers from February 1, 1996 to December 31, 2008. Patient data abstracted included mechanism of injury, physiologic parameters on admission, Injury Severity Score (ISS), abdominal Abbreviated Injury Scale (AIS), gestational age, diagnostic and surgical procedures performed,complications, and maternal and fetal mortality. Univariate analysis and logistic regression analysis were used. During the 155-month study period, 321 pregnant patients were included, of which 291 (91%)sustained a blunt injury, while 30 (9%) were victims of penetrating trauma. Of the penetrating injuries,22 (73%) were gunshot wounds, 7 (23%) stab wounds, and 1 (4%) shotgun injury. The overall maternal and fetal mortality was 3% (n = 9) and 16% (n = 45), respectively. Mean age was 22 6 year-old, and the mean ISS was 12 16. The overall mean abdominal AIS was 2 1.2. When adjusted for age, abdominal AIS,ISS, and diastolic blood pressure, the pene...Continue Reading
References
Jan 1, 1977·The Medical Clinics of North America·T E Bynum
Jun 17, 1992·JAMA : the Journal of the American Medical Association·J McFarlaneL Bullock
Jan 1, 1989·American Journal of Perinatology·E A Sandy, M Koerner
Apr 1, 1988·Annals of Emergency Medicine·B S Selden, T J Burke
Aug 1, 1988·The American Journal of Medicine·J G GonzalezJ Z Villarreal
Aug 1, 1980·Kidney International·J M Davison, W Dunlop
Sep 1, 1981·Clinical Obstetrics and Gynecology·J MetcalfeK Ueland
May 1, 1996·Annals of Surgery·J A MorrisJ G Bass
Oct 26, 1999·Annals of Emergency Medicine·H B Weiss
Nov 11, 1999·Archives of Surgery·F B RogersR P Bynoe
Sep 2, 2000·American Journal of Surgery·A A Guth, L Pachter
Jun 28, 2001·Accident; Analysis and Prevention·H B Weiss
Oct 26, 2001·JAMA : the Journal of the American Medical Association·H B WeissA Fabio
Oct 24, 2002·The Journal of Trauma·Robert E LeggonMatthew C Indeck
Jun 22, 2005·Lancet·Heidi D Nelson
Oct 11, 2005·Critical Care Medicine·Kenneth L Mattox, Laura Goetzl
Apr 4, 2006·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·P Petrone, J A Asensio
Citations
Apr 27, 2011·Pediatric Surgery International·Feryal GunAlaaddin Celik
Mar 8, 2013·Archives of Gynecology and Obstetrics·Kathleen F BrookfieldCarl I Schulman
Dec 10, 2013·BMC Research Notes·Elmuntasir TahaAbdelaziem A Ali
Nov 22, 2012·AJR. American Journal of Roentgenology·Claudia SadroKalpana M Kanal
Dec 25, 2013·International Urology and Nephrology·Chao ZhangYan-Feng Li
Sep 25, 2014·Journal of Women's Health·Karisa K HarlandCorinne Peek-Asa
Sep 26, 2015·Injury·Emir BattalogluKeith Porter
Feb 21, 2016·Cirugía española·Patrizio PetroneCorrado P Marini
Mar 8, 2013·Obstetrics and Gynecology Clinics of North America·Steffen Brown, Ellen Mozurkewich
Nov 10, 2012·Emergency Medicine Clinics of North America·Ali S Raja, Christopher P Zabbo
Jan 28, 2012·Seminars in Perinatology·Vivian Carolina Romero, Mark Pearlman
Jun 3, 2011·La Presse médicale·Guillaume DucarmeDominique Luton
Mar 2, 2016·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Gayle McLellandKaren Smith
Sep 5, 2015·Current Problems in Surgery·Patrizio Petrone, Corrado P Marini
Nov 26, 2015·Critical Care Clinics·Amie Lucia, Susan E Dantoni
Mar 15, 2011·Brain Research·Miriam S DomowiczNancy B Schwartz
Jan 22, 2013·American Journal of Obstetrics and Gynecology·Hector Mendez-FigueroaDwight J Rouse
Sep 15, 2012·Journal of Pediatric Surgery·Jason D Pasley, Demitrios Demetriades
Sep 24, 2011·Injury·Umar J WaliSaikat Banerjee
Aug 10, 2016·African Journal of Paediatric Surgery : AJPS·Albert WandaogoE Bandré
Mar 8, 2017·Emergency Medicine Journal : EMJ·E Battaloglu, K Porter
Mar 9, 2017·Emergency Medicine Journal : EMJ·Emir Battaloglu, Keith Porter
Sep 17, 2017·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·P PetroneC P Marini
Nov 8, 2019·Obstetrics and Gynecology·Patricia S GrecoMark D Pearlman
Mar 21, 2020·Clinical Obstetrics and Gynecology·Mauricio LA RosaMarÍa F Escobar
Jun 25, 2020·Women's Health·Bryan G MaxwellMegan R Lundeberg
Aug 29, 2018·Journal of Neonatal-perinatal Medicine·T PhamI Chandrasekar
Nov 29, 2016·Critical Care Nursing Quarterly·Matthew Mowry
Sep 22, 2020·Der Unfallchirurg·Vera Pedersen
Nov 26, 2019·Obstetrics and Gynecology·Patricia S GrecoMark D Pearlman
Oct 22, 2020·Circulation·Ashish R PanchalUNKNOWN Adult Basic and Advanced Life Support Writing Group
Jan 20, 2021·Revista brasileira de ginecologia e obstetrícia : revista da Federação Brasileira das Sociedades de Ginecologia e Obstetrícia·Ozhan Ozdemır, Cemal Resat Atalay
Feb 18, 2020·Journal of Pediatric Surgery·Michelle B MulderChad M Thorson
Mar 9, 2021·The American Journal of Emergency Medicine·Zekiye Soykan SertKamil Kokulu
Apr 21, 2021·JAMA Network Open·Chih-Wei PaiPing-Ling Chen
May 22, 2021·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Muhammad NaeemVincent M Mellnick
Jun 25, 2021·Emergency Medicine Australasia : EMA·Nobuhiro SatoBen Beck
Aug 19, 2021·BMJ Case Reports·Charisse Anne F Aquino, Maria Jesusa B Banal-Silao
Sep 2, 2021·Curēus·Bilal TasneemShahnaz Akhter