TY  - JOUR
PY  - 2015//
TI  - Risk factors for mortality in blunt abdominal trauma with surgical approach
JO  - Revista do Colégio Brasileiro de Cirurgiões
A1  - Pimentel, Silvania Klug
A1  - Sawczyn, Guilherme Vinicius
A1  - Mazepa, Melissa Mello
A1  - da Rosa, Felipe Guilherme Gonçalves
A1  - Nars, Adonis
A1  - Collaço, Iwan Augusto
SP  - 259
EP  - 264
VL  - 42
IS  - 4
N2  - OBJECTIVE: identify risk factors for mortality in patients who underwent laparotomy after blunt abdominal trauma. <br><br>METHODS: retrospective study, case-control, which were reviewed medical records of blunt trauma victims patients undergoing laparotomy, from March 2013 to January 2015, and compared the result of the deaths group with the group healed. <br><br>RESULTS: of 86 patients, 63% were healed, 36% died, and one patient was excluded from the study. Both groups had similar epidemiology and trauma mechanism, predominantly young adults males, automobilistic accident. Most cases that evolved to death had hemodynamic instability as laparotomy indication - 61% against 38% in the other group (p=0.02). The presence of solid organ injury was larger in the group of deaths - 80% versus 48% (p=0.001) and 61% of them had other associated abdominal injury compared to 25% in the other group (p=0.01). Of the patients who died 96% had other serious injuries associated (p=0.0003). Patients requiring damage control surgery had a higher mortality rate (p=0.0099). Only one of 18 patients with isolated hollow organ lesion evolved to death (p=0.0001). The mean injury score of TRISS of cured (91.70%) was significantly higher than that of deaths (46.3%) (p=0.002). <br><br>CONCLUSION: the risk factors for mortality were hemodynamic instability as an indication for laparotomy, presence of solid organ injury, multiple intra-abdominal injuries, need for damage control surgery, serious injury association and low index of trauma score.<p /> <p>Language: en</p>
LA  - en
SN  - 0100-6991
UR  - http://dx.doi.org/10.1590/0100-69912015004011
ID  - ref1
ER  -