Can unnecessary operations for abdominal stab would be safely reduced? A review of 255 patients

Autor: S, Sriussadaporn, C, Tanphiphat, P, Poomsuwan
Rok vydání: 1993
Předmět:
Zdroj: Journal of the Medical Association of Thailand = Chotmaihet thangphaet. 76(8)
ISSN: 0125-2208
Popis: Records of 255 patients who underwent laparotomies for stab wounds to the abdomen and lower chest were reviewed. Criteria for laparotomy were clinical and followed the conventional lines. Seventy-six patients (30%) were classified as having had an unnecessary laparotomy. Univariate analysis with the Chi-square test revealed 8 variables which differed significantly between the necessary and unnecessary laparotomy groups. Further stepwise discriminant analysis demonstrated 4 variables which had independent significance; they are the type of injury, generalized abdominal tenderness, haemoperitoneum and active intraabdominal bleeding. A mathematical model utilizing these 4 variables may be able to predict the need for laparotomy more accurately than utilizing any single variable. A prospective study is needed to test this hypothesis.
Databáze: OpenAIRE