Prognostic factors, morbidity and mortality in pancreatic trauma: a critical appraisal of 432 consecutive patients treated at a Level 1 Trauma Centre

Injury
J E J KrigeP H Navsaria

Abstract

This large retrospective observational cohort study evaluated prognostic factors, 30-day morbidity and mortality and complications related to the pancreas in patients who had sustained pancreatic injuries. The records of 432 consecutive patients treated for pancreatic injuries at an urban Level 1 Trauma Centre in Cape Town between January 1982 and December 2012 were reviewed. Primary endpoints were postoperative morbidity and death. Bivariate and multivariate logistic regression analyses were used to assess significant predictors of morbidity and mortality. Overall mortality in 432 patients [394 men, median age 26, median RTS 7.8] was 15.7% and morbidity 66%. Bivariate logistic regression analysis showed that nine factors, age, RTS, presence of shock, need for a transfusion, volume of blood transfused, damage control surgery, AAST grade of pancreatic injury, an associated vascular injury and a repeat laparotomy were significant predictors of morbidity. In the final multivariate logistic regression analysis model however only two variables, AAST grade of pancreatic injury and a repeat laparotomy were significant predictors of morbidity. When factors associated with mortality were considered, logistic regression analysis found th...Continue Reading

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Citations

Feb 10, 2016·Pediatric Surgery International·Bahattin AydogduSelcuk Otcu
Jan 15, 2016·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·Calogero IaconoAlfredo Guglielmi
Mar 15, 2016·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·J E J KrigeP H Navsaria
Mar 28, 2016·Journal of Visceral Surgery·J KrigeP Navsaria
Apr 19, 2015·Injury·Kjetil Søreide
Apr 27, 2016·Journal of the American College of Surgeons·Jake E KrigePradeep H Navsaria
Aug 3, 2016·Cirugía española·Patrizio PetroneCorrado P Marini
Jun 29, 2017·The Journal of Trauma and Acute Care Surgery·Bradley PhillipsRyan W Walters
Oct 3, 2019·Abdominal Radiology·Kedar G SharbidreDesiree E Morgan
Dec 24, 2019·World Journal of Emergency Surgery : WJES·Federico CoccoliniUNKNOWN WSES-AAST Expert Panel
Jan 4, 2017·Journal of Surgical Case Reports·Nadja BenmohamedChristian Toso
Dec 29, 2020·ANZ Journal of Surgery·Oscar AldridgeCharles Pilgrim

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