Correlation of trauma scoring systems with abdominal septic complications in abdominal trauma.
Artículo
en Inglés
| IMSEAR
| ID: sea-64391
ABSTRACT
INTRODUCTION:
Anatomical trauma scoring systems can predict the occurrence of postoperative abdominal septic complications (ASC) after major abdominal trauma; however, this has not been validated in any Indian study. We attempted such an evaluation in patients attending a teaching hospital in central India.METHOD:
A retrospective analysis of data from 169 patients who had undergone emergency laparotomy for penetrating or blunt abdominal injury between August 1996 and July 2001 was done. Every patient was scored using three trauma severity indices and the occurrence of ASC was identified.RESULTS:
Patients who developed ASC had higher trauma severity scores than those who did not. Thirty-eight patients had isolated small bowel injury; trauma scores underestimated the occurrence of ASC in these patients.CONCLUSIONS:
Trauma severity indices may serve as useful tools to predict the occurrence of postoperative ASC in patients with abdominal trauma, except in those with isolated small bowel injury. There is thus a need to modify the weight of small bowel injury in these scoring systems.
Texto completo:
Disponible
Índice:
IMSEAR (Asia Sudoriental)
Asunto principal:
Infección de la Herida Quirúrgica
/
Femenino
/
Humanos
/
Masculino
/
Índices de Gravedad del Trauma
/
Estudios Retrospectivos
/
Curva ROC
/
Síndrome de Respuesta Inflamatoria Sistémica
/
Adulto
/
Predicción
Tipo de estudio:
Estudio observacional
/
Estudio pronóstico
País/Región como asunto:
Asia
Idioma:
Inglés
Año:
2002
Tipo del documento:
Artículo
Similares
MEDLINE
...
LILACS
LIS