Independent risk factors of morbidity in penetrating colon injuries

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dc.contributor.authorGirgin, Sadullah
dc.contributor.authorGedik, Ercan
dc.contributor.authorUysal, Ersin
dc.contributor.authorTacyildiz, Ibrahim Halil
dc.date.accessioned2024-04-24T17:40:05Z
dc.date.available2024-04-24T17:40:05Z
dc.date.issued2009
dc.departmentDicle Üniversitesien_US
dc.description.abstractBACKGROUND The present study explored the factors effective on colon-related morbidity in patients with penetrating injury of the colon. METHODS The medical records of 196 patients were reviewed for variables including age, gender, factor of trauma, time between injury and operation, shock, duration of operation, Penetrating Abdominal Trauma Index (PATI), Injury Severity Score (ISS), site of colon injury, Colon Injury Score, fecal contamination, number of associated intra- and extraabdominal organ injuries, units of transfused blood within the first 24 hours, and type of surgery. In order to determine the independent risk factors, multivariate logistic regression analysis was performed. RESULTS Gunshot wounds, interval between injury and operation >= 6 hours, shock, duration of the operation >= 6 hours, PATI >= 25, ISS >= 20, Colon Injury Score >= grade 3, major fecal contamination, number of associated intraabdominal organ injuries >2, number of associated extraabdominal organ injuries >2, multiple blood transfusions, and diversion were significantly associated with morbidity. Multivariate logistic regression analysis showed diversion and transfusion of >= 4 units in the first 24 hours as independent risk factors affecting colon-related morbidity. CONCLUSION Diversion and transfusion of >= 4 units in the first 24 hours were determined to be independent risk factors for colon-related morbidity.en_US
dc.identifier.endpage238en_US
dc.identifier.issn1306-696X
dc.identifier.issue3en_US
dc.identifier.pmid19562544
dc.identifier.startpage232en_US
dc.identifier.urihttps://hdl.handle.net/11468/21592
dc.identifier.volume15en_US
dc.identifier.wosWOS:000265562100007
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherTurkish Assoc Trauma Emergency Surgeryen_US
dc.relation.ispartofUlusal Travma Ve Acil Cerrahi Dergisi-Turkish Journal of Trauma & Emergency Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectColon/Injuriesen_US
dc.subjectPenetrating Colon Injuryen_US
dc.subjectRisk Factoren_US
dc.subjectMorbidityen_US
dc.titleIndependent risk factors of morbidity in penetrating colon injuriesen_US
dc.titleIndependent risk factors of morbidity in penetrating colon injuries
dc.typeArticleen_US

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