scholarly journals A subgroup analysis of penetrating injuries to the pancreas: 777 patients from the National Trauma Data Bank, 2010-2014

2018 ◽  
Vol 225 ◽  
pp. 131-141 ◽  
Author(s):  
Bradley Phillips ◽  
Lauren Turco ◽  
Dan McDonald ◽  
Elizabeth Mause ◽  
Ryan W. Walters
2019 ◽  
Vol 85 (3) ◽  
pp. 292-293
Author(s):  
Ethan Talbot ◽  
Suzanne Evans ◽  
Nicholas Hellenthal ◽  
Daphne Monie ◽  
Paul Campbell ◽  
...  

The aim of this study was to characterize the outcomes of traumatic abdominal and pelvic vascular injuries. Using the 2012 National Trauma Data Bank, we identified 5858 patients with major abdominal and/or pelvic vascular injury. Patients were stratified by age group, gender, race, Injury Severity Score (ISS), and mechanism of injury. We evaluated the percentage of patients with blunt and penetrating trauma by demographic and correlated the mechanism of injury to the ISS score, emergency room disposition, and hospital disposition. We performed a logistic regression analysis to calculate predictors of death. In the final cohort, 1458 patients (25%) with abdominal/pelvic vascular injury died of trauma. In total, 3368 patients (57%) had a blunt mechanism of injury, whereas 2353 (40%) were victims of a penetrating trauma. Patients with penetrating injuries were 1.72 times more likely to die from their injuries than those with blunt traumas. Patients with higher ISS scores (>16) were more likely to die from their injuries than patients with lower ISS scores. Men were more likely to experience a penetrating vascular injury than women (48% vs 17%). Similarly, 77 per cent of black patients had a penetrating mechanism of injury compared with 20 per cent of white patients. There were 1910 patients with penetrating injuries (81%) that went immediately from the emergency room to the OR, compared with 1287 patients with blunt injuries (38%). Of the patients with blunt injuries, 695 (21%) died, whereas 727 (31%) patients with penetrating injuries died. Abdominal and pelvic traumatic vascular injuries carry a high mortality rate. Penetrating mechanism of injury, ISS score, and race are independent predictors of mortality.


2021 ◽  
Vol 264 ◽  
pp. 499-509
Author(s):  
Sung Huang Laurent Tsai ◽  
Greg Michael Osgood ◽  
Joseph K. Canner ◽  
Amber Mehmood ◽  
Oluwafemi Owodunni ◽  
...  

2010 ◽  
Vol 158 (1) ◽  
pp. 1-5 ◽  
Author(s):  
Joseph G. Crompton ◽  
Tolulope Oyetunji ◽  
Kent A. Stevens ◽  
David T. Efron ◽  
Elliott R. Haut ◽  
...  

2011 ◽  
Vol 213 (3) ◽  
pp. S49-S50
Author(s):  
Mehreen T. Kisat ◽  
Cassandra V. Villegas ◽  
Sharon Onguti ◽  
Asad Latif ◽  
David T. Efron ◽  
...  

2021 ◽  
Vol 259 ◽  
pp. 121-129
Author(s):  
Eleah D. Porter ◽  
Jenaya L. Goldwag ◽  
Allison R. Wilcox ◽  
Zhongze Li ◽  
Tor D. Tosteson ◽  
...  

2020 ◽  
Vol 35 (5) ◽  
pp. 524-527
Author(s):  
Allison G. McNickle ◽  
Paul J. Chestovich ◽  
Douglas R. Fraser

AbstractBackground:Cadaveric and older radiographic studies suggest that concurrent cervical spine fractures are rare in gunshot wounds (GSWs) to the head. Despite this knowledge, patients with craniofacial GSWs often arrive with spinal motion restriction (SMR) in place. This study quantifies the incidence of cervical spine injuries in GSWs to the head, identified using computerized tomography (CT). Fracture frequency is hypothesized to be lower in self-inflicted (SI) injuries.Methods:Isolated craniofacial GSWs were queried from this Level I trauma center registry from 2013-2017 and the US National Trauma Data Bank (NTDB) from 2012–2016 (head or face abbreviated injury scale [AIS] >2). Datasets included age, gender, SI versus not, cervical spine injury, spinal surgery, and mortality. For this hospital’s data, prehospital factors, SMR, and CTs performed were assessed. Statistical evaluation was done with Stata software, with P <.05 significant.Results:Two-hundred forty-one patients from this hospital (mean age 39; 85% male; 66% SI) and 5,849 from the NTDB (mean age 38; 84% male; 53% SI) were included. For both cohorts, SI patients were older (P < .01) and had increased mortality (P < .01). Overall, cervical spine fractures occurred in 3.7%, with 5.4% requiring spinal surgery (0.2% of all patients). The frequency of fracture was five-fold greater in non-SI (P < .05). Locally, SMR was present in 121 (50.2%) prior to arrival with six collars (2.5%) placed in the trauma bay. Frequency of SMR was similar regardless of SI status (49.0% versus 51.0%; P = not significant) but less frequent in hypotensive patients and those receiving cardiopulmonary resuscitation (CPR). The presence of SMR was associated with an increased use of CT of the cervical spine (80.0% versus 33.0%; P < .01).Conclusion:Cervical spine fractures were identified in less than four percent of isolated GSWs to the head and face, more frequently in non-SI cases. Prehospital SMR should be avoided in cases consistent with SI injury, and for all others, SMR should be discontinued once CT imaging is completed with negative results.


2006 ◽  
Vol 44 (1) ◽  
pp. 94-100 ◽  
Author(s):  
Philip S. Mullenix ◽  
Scott R. Steele ◽  
Charles A. Andersen ◽  
Benjamin W. Starnes ◽  
Ali Salim ◽  
...  

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