Prognostic factors for traumatic bowel injuries: killing time.

World Journal of Surgery
Gil R FariaJosé Costa-Maia

Abstract

Intestinal rupture/perforation after abdominal trauma is a rare complication, but it is related to significant morbidity and mortality. Our objective is to identify determinants of prognosis in patients surgically treated for a bowel injury (small bowel and colon) after abdominal trauma. The present study is a retrospective analysis of 102 patients seen at our hospital during a 10-year period in whom laparotomy for traumatic bowel injury was performed. Predictors for morbidity and mortality were assessed in univariate and multivariate analysis models. Mean age at diagnosis was 40 years, and most patients were male. There was a slight preponderance of blunt abdominal trauma, and the most frequent mechanism of injury was motor vehicle accident. In 75% of patients there was a small bowel lesion, and the colon was affected in 47%. There was no statistical relation between stoma construction and mortality, but an increase in morbidity was ultimately dependent on the severity of the underlying trauma. The univariate determinants of mortality were the new injury severity score (NISS) and American Society of Anesthesiologists (ASA) scores, the presence of blunt trauma and multiple intestinal or extra-abdominal lesions, and the elapsed ...Continue Reading

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Citations

Jan 9, 2013·World Journal of Emergency Surgery : WJES·Massimo SartelliTomohisa Shoko
Feb 1, 2014·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·T BègeC Brunet
Mar 29, 2016·Asian Journal of Surgery·Alireza Hamidian JahromiAsser M Youssef
May 23, 2016·Journal of Visceral Surgery·T BègeS V Berdah
Jan 12, 2019·Obstetrics and Gynecology·Laura M Glaser, Magdy P Milad
Mar 20, 2019·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·S WaldeckD Pantelis
Jan 12, 2019·The Journal of Trauma and Acute Care Surgery·Samir M FakhryUNKNOWN EAST small bowel perforation (SBP) Multi-Center Study Group
Jan 16, 2018·Annals of Surgical Treatment and Research·Hyoung-Chul ParkBong Hwa Lee
Sep 22, 2017·World Journal of Emergency Surgery : WJES·Jun KeYu Wang
Jun 23, 2020·Emergency Medicine International·Sung Yong HongKi Hoon Kim
Dec 20, 2020·Updates in Surgery·Alessandro Michele BonomiOsvaldo Chiara
Jul 25, 2019·International Journal of Surgery Case Reports·Christos K StefanouSpyridon Spyrou

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