The affecting factors on the complication ratio in abdominal gunshot wounds

TAS H., Mesci A., ERYILMAZ M., ZEYBEK N., PEKER Y.

ULUSAL TRAVMA VE ACIL CERRAHI DERGISI-TURKISH JOURNAL OF TRAUMA & EMERGENCY SURGERY, cilt.17, sa.5, ss.450-454, 2011 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 17 Sayı: 5
  • Basım Tarihi: 2011
  • Doi Numarası: 10.5505/tjtes.2011.47124
  • Dergi Adı: ULUSAL TRAVMA VE ACIL CERRAHI DERGISI-TURKISH JOURNAL OF TRAUMA & EMERGENCY SURGERY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.450-454
  • Anahtar Kelimeler: Gunshot wounds, penetrating abdominal trauma index, complication rate, TRAUMA, MORTALITY, MORBIDITY, INJURIES, WAR, MANAGEMENT
  • Akdeniz Üniversitesi Adresli: Evet

Özet

BACKGROUND

BACKGROUND

We aimed to investigate the affecting factors on the complication ratio in abdominal gunshot wounds.

METHODS

Twenty-one patients with abdominal gunshot wounds were analyzed between February 2002 and May 2005. The effects of the interval between trauma and presentation to the hospital, the number of injured abdominal and extra-abdominal organs, penetrating abdominal trauma index (PATI), and blood transfusion were evaluated.

RESULTS

90.4% of all patients were transported to the hospital and underwent their first evaluation in the first two hours. The complication rate was 7.1% in patients who had <3 injured organs and 71% in the others (p<0.0001). 71.4% of the patients had isolated abdominal trauma, while 28.6% had additional extra-abdominal organ trauma. The complication rate was 7.7% in 13 patients with PATI score <25 and 62.5% in 8 patients with a PATI score >= 25 (p<0.0001). In 10 patients who underwent blood transfusion of >= 3 units, the complication rate was 50% (p<0.0001).