Predicting factors for mortality in the penetrating abdominal trauma

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dc.contributor.authorAldemir, M
dc.contributor.authorTaçyildiz, I
dc.contributor.authorGirgin, S
dc.date.accessioned2024-04-24T16:24:14Z
dc.date.available2024-04-24T16:24:14Z
dc.date.issued2004
dc.departmentDicle Üniversitesien_US
dc.description.abstractPurpose : penetrating abdominal trauma (PAT) is still a serious problem all over the world. This study was made to define and discuss the factors that could affect mortality in the PAT. Methods : the records of 1048 patients hospitalized and operated for PAT at Dicle University Hospital (DUH) between January 1990 and December 2001 were retrospectively reviewed. Patients (n = 1048) were divided into two groups : Healthy Group (HG) (n = 942) and Deathly Group (DG) (n = 106). The epidemiological and clinical features were evaluated as probable risk factors for mortality. The risk factors for mortality were revealed using univariate and multivariate analyses. Results : a total of 1048 patients [937 (89.4%) male, 111(10.6%) female] with PAT were included in this study. The mortality rate (22.5%) of female patients was significantly higher than (8.6%) that of male patients (p = 0.000). The mean age was 30.01 +/- 63.9 (14-74) years and 30 +/- 12.5(15-71) years in the HG and DG consecutively (p = 0.85). The average interval between injury and operation (IBIO) was 2.09 +/- 1.3 (0.5-3) and 6.9 +/- 11.4 (1-6.1) hours in the HG and DG respectively (p = 0.000). Presence of shock on admission (PSDA) was determined in 87 patients and in 96 patients in the HG and DG respectively (p = 0.000). The mortality rate (14.9%) in patients presenting gunshot wounds (GSW) was significantly higher than (2.7%) that of patients with stab wounds (SW) (p = 0.000). The average number of injured intraabdominal organs (NIAOI) was 1.98 +/- 1.08 (1-7) and 4.67 +/- 1.99 (1-13) in the HG and DG respectively (p = 0.000). Mortality rates were 72.7% in cardiac injury, 30% in great vessels injuries, 32.6% in cranial injury, and 21.5% in major extremity and pelvic injury (p = 0.000). The average penetrating abdominal trauma index (PATI) was 11.78 +/- 9.44 (1-58) and 46.24 +/- 22.18 (15-119) in the HG and DG respectively (p = 0.000). In multivariate analyses, female gender [Odds Ratio (OR) = 10.74, 95% Confidence Interval (CI) = 3.03-38.12, P = 0.000] the long IBIO (OR = 1.82, CI = 1.39-2.40, P = 0.000), PSDA (OR = 94.45, Cl = 28.32-314.95, P = 0.000), presence of cranial injury (OR = 0.03, cl = 0.002-0.363, P = 0.006) and high PATI (OR = 1.14, Cl = 1.09-1.19, P = 0.000), were found significantly important for mortality. Conclusion : we determined that conditions such as, female gender, long, interval between injury and operation, presence of shock on admission, presence of cranial injury and high PATI were predicting factors for mortality in PAT.en_US
dc.identifier.doi10.1080/00015458.2004.11679587
dc.identifier.endpage434en_US
dc.identifier.issn0001-5458
dc.identifier.issue4en_US
dc.identifier.pmid15469156
dc.identifier.scopus2-s2.0-4644362847
dc.identifier.scopusqualityQ3
dc.identifier.startpage429en_US
dc.identifier.urihttps://doi.org/10.1080/00015458.2004.11679587
dc.identifier.urihttps://hdl.handle.net/11468/16600
dc.identifier.volume104en_US
dc.identifier.wosWOS:000224060000016
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherActa Medical Belgicaen_US
dc.relation.ispartofActa Chirurgica Belgica
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectPenetrating Abdominal Traumaen_US
dc.subjectMortalityen_US
dc.subjectPredicting Factorsen_US
dc.titlePredicting factors for mortality in the penetrating abdominal traumaen_US
dc.titlePredicting factors for mortality in the penetrating abdominal trauma
dc.typeArticleen_US

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