PMID: 9191656May 1, 1997Paper

Predictors of fetal mortality in pregnant trauma patients

The Journal of Trauma
J AliB A McLellan

Abstract

Fetal mortality after trauma is significant. This study was aimed at identifying factors responsible for this high fetal mortality. All pregnant trauma patients admitted to the two major Toronto trauma institutions during the period of November of 1991 to February of 1996 with an Injury Severity Score (ISS) > or = 12 were assessed. Data on age, gestation, hypotension, ISS, hemoglobin, blood transfusion, length of stay, disseminated intravascular coagulation (DIC), and specific maternal injury were analyzed retrospectively to determine predictors of fetal mortality by comparison of patients with and without fetal survival. Twenty of a total of 68 pregnant trauma patients qualified for entry into the trauma registry by having an ISS > or = 12. Overall fetal mortality was 65% (13 of 20) for ISS > or = 12, and there was one maternal death (age, 29 years; ISS, 66). There were no statistically significant differences between the fetal death and fetal survival groups in age (29.2 +/- 6.2 vs. 30.4 +/- 3.9 years), gestation (25.3 +/- 10.5 vs. 24.1 +/- 9.2 weeks), lowest systolic blood pressure (98.3 +/- 33.8 vs. 112 +/- 18.0 mm Hg), head injury rate (3 of 13 vs. 1 of 7), extremity injury rate (8 of 13 vs. 2 of 7), abdominal injury rate ...Continue Reading

References

Mar 1, 1978·The Journal of Trauma·D RothenbergerR P Fischer
Feb 12, 1977·The Medical Journal of Australia·R J PepperellI A MacIsaac
Feb 1, 1992·The Journal of Trauma·R J ScorpioD R Gens
Sep 1, 1991·Archives of Surgery·T J EspositoT Buchman
Sep 11, 1991·Archives of Surgery·D P KissingerH R Champion
Jun 1, 1990·American Journal of Obstetrics and Gynecology·M D PearlmanR P Lorenz
Sep 1, 1989·The Journal of Emergency Medicine·P L Lane
Aug 1, 1988·American Journal of Obstetrics and Gynecology·P A StaffordR E Zumwalt
Dec 1, 1987·Annals of Emergency Medicine·P F AgranD Kent
Mar 25, 1971·The New England Journal of Medicine·W M Crosby, J P Costiloe
Mar 1, 1984·Clinical Obstetrics and Gynecology·R M Patterson
Jan 1, 1983·World Journal of Surgery·H R ChampionT K Hunt
May 1, 1994·The Medical Clinics of North America·R L Bick
Oct 1, 1993·American Journal of Obstetrics and Gynecology·M A Dahmus, B M Sibai
Nov 1, 1963·American Journal of Obstetrics and Gynecology·C H PECKHAM, R W KING

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Citations

Aug 13, 2005·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Dattatraya MuzumdarEnrique C G Ventureyra
Nov 24, 2001·Resuscitation·R SinertK L Stavile
May 3, 2001·Journal of the American College of Surgeons·G V BochicchioT Scalea
Oct 28, 2009·The American Journal of Nursing·Laura M Criddle
Oct 21, 2003·The Journal of Trauma·John R AlleyJeffery C Strickler
Dec 31, 2005·The Journal of Trauma·Sharline Z AboutanosRao R Ivatury
Apr 12, 2007·The Journal of Trauma·Stephen K PattesonRoger C Carroll
Sep 1, 2007·Clinical Obstetrics and Gynecology·Dina El Kady
Sep 17, 2009·Pediatric Emergency Care·Bruce M LoJoseph C Dooley
Jul 14, 2010·The Journal of Trauma·Robert D BarracoUNKNOWN EAST Practice Management Guidelines Work Group
Jan 26, 2012·Thrombosis and Haemostasis·Tiziana CotechiniCharles H Graham
Apr 28, 2009·Women's Health·Christina C Hill
Sep 4, 2012·World Journal of Surgery·Han-Tsung ChengChi-Hsun Hsieh
Dec 24, 2011·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Nir MelamedYariv Yogev
Jul 6, 2013·The Orthopedic Clinics of North America·Louis F AmorosaDavid L Helfet
Jan 29, 2013·Anesthesiology Clinics·Sharon EinavCarolyn F Weiniger
Jun 19, 2007·Journal de gynécologie, obstétrique et biologie de la reproduction·C VaysseO Parant
Dec 29, 2000·Mayo Clinic Proceedings·Y Baerga-VarelaD M Ilstrup
Apr 3, 2008·The Surgical Clinics of North America·Christina C Hill, Jennifer Pickinpaugh
Oct 9, 2007·Obstetrics and Gynecology Clinics of North America·Michael V Muench, Joseph C Canterino
Sep 11, 2007·Emergency Medicine Clinics of North America·Seric S Cusick, Carrie D Tibbles
Nov 8, 2006·Primary Care·Kevin S Ferentz, LaQuandra S Nesbitt
Dec 13, 2006·American Journal of Surgery·Jason L SperryShahid Shafi
Jan 6, 2005·Journal of the American College of Surgeons·Danagra G IkossiM Margaret Knudson
Oct 26, 1999·Annals of Emergency Medicine·H B Weiss
Aug 2, 2005·Forensic Science International : Synergy·Masahito HitosugiShogo Tokudome
Jan 22, 2013·American Journal of Obstetrics and Gynecology·Hector Mendez-FigueroaDwight J Rouse
Sep 5, 2006·American Journal of Obstetrics and Gynecology·Dina El KadyLloyd H Smith
Jul 31, 2004·American Journal of Obstetrics and Gynecology·Dina El-KadyLloyd H Smith
Aug 10, 2016·African Journal of Paediatric Surgery : AJPS·Albert WandaogoE Bandré
Sep 15, 2017·Journal of Orthopaedic Trauma·John C WeinleinSara E Johnson
Sep 15, 2010·The Journal of Trauma·Lisa K CannadaKenneth J Leveno
Nov 19, 2002·The Journal of Trauma·Melissa A Schiff, Victoria L Holt
Jun 18, 2005·Anaesthesia and Intensive Care·L WeinbergD Story
Oct 24, 2002·The Journal of Trauma·Robert E LeggonMatthew C Indeck
Jul 18, 2000·Journal of Orthopaedic Trauma·H C PapeH Tscherne
Feb 4, 2006·Critical Care Nursing Quarterly·Carla J Tweddale
Jan 26, 2018·Revista Brasileira De Ortopedia·Carlos Roberto SchwartsmannMarco Tonding Ferreira
May 3, 2020·NeoReviews·Laura N ShashySarah S Osmundson
Mar 8, 2006·The Journal of the American Academy of Orthopaedic Surgeons·Kyle FlikDavid L Helfet
Mar 29, 2018·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Hassan Al-ThaniHusham Abdelrahman
Oct 8, 2020·Journal of Surgical Case Reports·Muhammad Abu-RmailehMary Katherine Kimbrough
Dec 8, 2020·Frontiers in Surgery·Meir MarmorTheodore Miclau
Feb 18, 2020·Journal of Pediatric Surgery·Michelle B MulderChad M Thorson
Sep 10, 2003·Emergency Medicine Clinics of North America·Amol J Shah, Bradford A Kilcline

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