Traumatic Abdominal injuries Injury, Occupational Diseases, Poisoning Traumatic Abdominal injuries
Conditions
Interventions
Once all operative repair is completed (including restoring intestinal continuity) and a decision to perform primary closure of the abdomen is made, the patients undergo random assignment to one of th
Sponsors
University of Illinois at Chicago
Advocate Health Care
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Patients aged 14 and above 2. Requiring an emergent exploratory laparotomy for trauma
Exclusion criteria
Exclusion criteria: 1. Included the need for concomitant extra-abdominal surgery 2. The presence of a pelvic fracture and severe TBI (GCS <6 noted during the primary survey) 3. The use of the open abdomen technique 4. Intrabdominal vascular implants (but not primary repairs) 5. The presence of diaphragmatic injuries
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 30 day mortality is measured using the electronic medical record of the patient to retrieve the date of death, at the 30 day period or the day of death, whichever occurred first. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Intra-abdominal abscess is measured using the radiologic electronic medical record of the patient at the day of diagnosis or at 30 days, whichever occurred first 2. Wound infection is measured using the data about daily visual inspection of the wound and the criteria available in the methodology section of the protocol, using the electronic medical record of the patient at the day of diagnosis or at 30 days, whichever occurred first 3. Fistula formation is measured using the data about daily visual inspection of the wound and the criteria available in the methodology section of the protocol, using the electronic medical record of the patient at the day of diagnosis or at 30 days, whichever occurred first 4. Evisceration is measured using the data about daily visual inspection of the wound and the criteria available in the methodology section of the protocol, and the resultant operative report, using the electronic medical record of the patient at the day of diagnosis or at 30 days, whichever occurred first | — |
Countries
United States of America
Outcome results
None listed