Contemporary characteristics of blunt abdominal trauma in a regional series from the UK
Autor: | Christopher Harmston, Robert M. Kirby, C. Doran, R. Pande, J. Winter Beatty, Athanasios Saratzis |
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Rok vydání: | 2017 |
Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Trauma Surgery Poison control Abdominal Injuries 030230 surgery Wounds Nonpenetrating 03 medical and health sciences 0302 clinical medicine Blunt Trauma Centers Laparotomy Hollow viscus Humans Medicine Retrospective Studies business.industry Major trauma 030208 emergency & critical care medicine Retrospective cohort study General Medicine Middle Aged medicine.disease Surgery England Abdominal trauma Cohort Female Tomography X-Ray Computed business |
Zdroj: | Europe PubMed Central |
ISSN: | 1478-7083 0035-8843 |
Popis: | INTRODUCTION Blunt abdominal trauma (BAT) is a common injury in recent trauma series. The characteristics of patients with BAT have changed following the reconfiguration of UK trauma services. The aim of this study was to build a new profile for BAT patients undergoing immediate or delayed laparotomy. METHODS All 5,401 consecutive adults presenting with major trauma between April 2012 and April 2014 in the 3 major trauma centres in the West Midlands were analysed to identify all patients with BAT. A total of 2,793 patients with a mechanism of injury or symptomatology consistent with BAT were identified (52%). Outcomes were analysed using local electronic clinical results systems and notes. RESULTS Of the 2,793 patients, 179 (6.4%) had a mesenteric or hollow viscus injury, 168 (6.0%) had a hepatobiliary injury, 149 (5.4%) had a splenic injury and 46 (1.6%) had a vascular injury. Overall, 103 patients (3.7%) underwent an early (12 hours) laparotomy. Twenty (66.7%) of those undergoing a delayed laparotomy had a hollow viscus injury. In total, 170 deaths occurred among the BAT patients (6.1%). In the early laparotomy group, 53 patients died (51.5%) whereas in the delayed laparotomy group, 6 patients died (20.0%). CONCLUSIONS This series has attempted to provide the characteristics of patients with BAT in a large contemporary UK cohort. BAT was found to be a common type of injury. Early and delayed laparotomy occurred in 3.7% and 1.1% of these patients respectively, mostly because of hollow viscus injury in both cases. Outcomes were comparable with those in the international literature from regions with mature trauma services. |
Databáze: | OpenAIRE |
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