Penetrating Abdominal Trauma
Conditions
Keywords
Penetrating Trauma, Trauma surgery, Explorative laparoscopy, Trauma laparotomy, eFAST
Brief summary
Penetrating abdominal trauma (PAT) incidence varies between 3,1-12,8% and it comprises a wide range of injuries with varying patterns on diagnostic imaging. Last guidelines published in 2014 recommend the use of FAST and CXR as the Gold Standard method for evaluating. Computed Tomography (CT) is widely used in stable patients with PAT and it requires intravenous contrast and patient irradiation, leading to additional costs to healthcare services. This study aims to assess the management of PAT in our institution and with its results review the actual protocol.
Detailed description
Penetrating abdominal trauma (PAT) incidence varies between 3,1-12,8% and it comprises a wide range of injuries with varying patterns on diagnostic imaging. Last guidelines published in 2014 recommend the use of FAST and CXR as the Gold Standard method for evaluating. Computed Tomography (CT) is widely used in stable patients with PAT and it requires intravenous contrast and patient irradiation, leading to additional costs to healthcare services. This study aims to assess the management of PAT in our institution and with its results review the actual protocol. A retrospective unicentric study will be conducted on a prospective database of stab wounds at the Department of General Surgery of Hospital del Mar over a 15-year period. The normality of the distribution of quantitative variables will be assessed using the Kolmogorov-Smirnov test. Comparison between qualitative variable groups will be performed using the Chi-square test or Fisher's exact test when appropriate, and non-parametric tests like the Mann-Whitney U test will be used to evaluate the significance of differences in means of quantitative variables. The odds ratios (OR) of predictor variables with outcome variables will be determined.
Interventions
None listed
Sponsors
Hospital del Mar
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* All penetrating trauma patients admitted in the emergency department.
Exclusion criteria
* All patients with any other diagnostic different from penetrating trauma * Blunt trauma patients admitted in the emergency department
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Complications | 2008-2023 | The main outcome measure was the total of complications in patients with a penetrating abdominal trauma assessed by the Clavien-Dindo Classification. |
| Mortality | 2008-2023 | The second main outcome measure was the total of deaths in patients with a penetrating abdominal trauma assessed by preventable or non-preventable deaths. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Explorations | 2008-2023 | To describe the explorations that has been ordered: eFAST, CT Scan, explorative laparoscopy or laparotomy. |
| Demographyc description | 2008-2023 | Description of the age and gender (Male / Female) |
| Physiologic description | 2008-2023 | Description of the vitals at arrival (bates per minute, blood pressure) |
| Wound and abdominal exploration | 2008-2023 | Description of the wound: bleeding, longitude, number of wounds and the abdominal explorations: peritonism or no peritonism. |
Contacts
Primary ContactAna María González Castillo, PhD
Outcome results
None listed