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  1. Solid viscus injury predicts major hollow viscus injury in blunt abdominal trauma. Discussion.

    Article, Communication - En anglais

    Annual Meeting of the American Association for the Surgery of Trauma. Houston, Texas (USA), 1996/09/19.

    Background 

    As nonoperative management of blunt abdominal trauma has become more popular, reliable models for predicting the likelihood of concomitant hollow viscus injury in the hemodynamically stable patient with a solid viscus injury are increasingly important.

    Methods 

    The Pennsylvania Trauma Systems Foundation registry was reviewed for the period from January 1992 to December 1995 for all adult (age>12 years) patients with blunt trauma and an Abbreviated Injury Scale (AIS) score = 2 for a solid viscus (kidney, liver, pancreas, spleen).

    Patients with an initial systolic blood pressure<90 mm Hg were excluded.

    Hollow viscus injuries included only lacerations or perforations of the gallbladder, gastrointestinal tract, or urinary tract.

    Results 

    In the 4-year period, 3,089 patients sustained solid viscus injuries, 296 of whom had a hollow viscus injury (9.6%). The mean age was 35.6 years, mean Injury Severity Score was 22.2, and mean Revised Trauma Score was 7.3 ; 63.3% of the patients were male.

    A solitary solid viscus injury occurred in 2,437 patients (79%), 177 of whom (7.3%) had a hollow viscus injury.

    The frequency of hollow viscus injury increased with the number of solid organs injured : 15.4% of patients with two solid viscus injuries (n=547) and 34.4% of patients with three solid viscus injuries (n=96) suffered a concomitant hollow viscus injury (p<0.001 vs. one organ).

    A hollow viscus injury was 2.3 times more likely for two solid viscus injuries and 6. (...)

    Mots-clés Pascal : Traumatisme, Abdomen, Homme, Epidémiologie, Incidence, Association, Viscère, Facteur prédictif, Perforation, Intestin, Voie biliaire, Voie urinaire pathologie, Abdomen pathologie, Appareil digestif pathologie, Intestin pathologie, Voie biliaire pathologie, Appareil urinaire pathologie

    Mots-clés Pascal anglais : Trauma, Abdomen, Human, Epidemiology, Incidence, Association, Viscus, Predictive factor, Perforation, Gut, Biliary tract, Urinary tract disease, Abdominal disease, Digestive diseases, Intestinal disease, Biliary tract disease, Urinary system disease

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0002160

    Code Inist : 002B16G. Création : 17/04/1998.