Correlation of trauma scoring systems with abdominal septic complications in abdominal trauma.
Artigo
em Inglês
| 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:
DisponíveL
Índice:
IMSEAR (Sudeste Asiático)
Assunto principal:
Infecção da Ferida Cirúrgica
/
Feminino
/
Humanos
/
Masculino
/
Índices de Gravidade do Trauma
/
Estudos Retrospectivos
/
Curva ROC
/
Síndrome de Resposta Inflamatória Sistêmica
/
Adulto
/
Previsões
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
País/Região como assunto:
Ásia
Idioma:
Inglês
Ano de publicação:
2002
Tipo de documento:
Artigo
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