@article{ref1,
title="Should the management approach to the anterior abdominal stab wound be different in patients with self-inflicted abdominal injury?",
journal="Injury",
year="2021",
author="Ashkenazi, I. and Hershkovitz, Y. and Jeroukhimov, I. and Shapira, Z. and Givon, A. and Bodas, M. and Peleg, K. and Kalman, I.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND: Self-inflicted injury is a leading cause of death worldwide. It is hypothesized that due to instincts for self-preservation, the severity of abdominal  injury would be decreased following suicidal self-stabbing in comparison to stab  wounds from assault, and therefore a more conservative management might be  considered. <br><br>METHODS: All patients with isolated abdominal stab wound (SW) admitted  to 19 Trauma Centers in Israel between the years 1997 and 2018 were included in the  study. Patients with self-inflicted abdominal SW (Group I) were compared to victims  with abdominal SW following assault (Group II). <br><br>RESULTS: Group I included 9.4%  (314/3324) of patients eligible for this study. Compared to Group II, Group I  patients were older (median: 39 years, IQR 28,52 vs. 24 years, IQR 19,33; p<0.001),  had more females (28.7% vs 4.9%, p <0.001), had longer length of hospitalization  (median: 3 days vs. 2 days; p<0.001), underwent surgery more frequently (55.4% vs. 37.4%; p<0.001), and had higher mortality (2.9% vs. 0.7%; p=0.003). Possible  covariates for mortality were examined and following logistic regression,  self-inflicted injury remained associated with higher death rates compared to  assault (OR 4.027, CI95% 1.380, 11.749; p=0.011). <br><br>CONCLUSION: In this study,  patients with isolated self-inflicted abdominal injuries had higher mortality and  more frequently underwent abdominal surgery.<p /> <p>Language: en</p>",
language="en",
issn="0020-1383",
doi="10.1016/j.injury.2020.11.072",
url="http://dx.doi.org/10.1016/j.injury.2020.11.072"
}