A diagnostic delay of 5 hours increases the risk of death after blunt hollow viscus injury

Journal of Trauma - Injury, Infection and Critical Care

Volumn 69, Issue 1, 2010, Pages 84-87

  Malinoski, Darren J ^a   Patel, Madhukar S ^a   Yakar, Didem Oncel ^b   Green, Donald ^c   Qureshi, Faisal ^d   Inaba, Kenji ^c   Brown, Carlos V R ^e   Salim, Ali ^f  

^a UNIVERSITY OF CALIFORNIA   (United States)

^b MEMORIAL HOSPITAL   (Turkey)

^c UNIVERSITY OF SOUTHERN CALIFORNIA   (United States)

^d CHILDREN'S NATIONAL MEDICAL CENTER   (United States)

^e UNIVERSITY OF TEXAS AT AUSTIN   (United States)

^f CEDARS SINAI MEDICAL CENTER   (United States)

Author keywords

Blunt hollow viscus injury; Diagnostic delay; Laparotomy; Mortality

Indexed keywords

ADULT; ARTICLE; BLEEDING; BLUNT HOLLOW VISCUS INJURY; BLUNT TRAUMA; DEATH; DELAYED DIAGNOSIS; DEMOGRAPHY; DISEASE REGISTRY; EMERGENCY HEALTH SERVICE; FEMALE; HOSPITAL ADMISSION; HUMAN; LAPAROTOMY; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MEDICAL RECORD REVIEW; MULTIVARIATE ANALYSIS; PATIENT INFORMATION; PRIORITY JOURNAL; RETROSPECTIVE STUDY; RISK FACTOR; SURVIVAL RATE; SURVIVAL TIME;

ABDOMINAL INJURIES; ADULT; AGE FACTORS; EARLY DIAGNOSIS; FEMALE; HUMANS; INJURY SEVERITY SCORE; LENGTH OF STAY; MALE; MIDDLE AGED; MULTIVARIATE ANALYSIS; ODDS RATIO; RETROSPECTIVE STUDIES; RISK FACTORS; TIME FACTORS; TRAUMA CENTERS; WOUNDS, NONPENETRATING;

EID: 77954737032     PISSN: 00225282     EISSN: 15298809     Source Type: Journal    
DOI: 10.1097/TA.0b013e3181db37f5     Document Type: Article

References (12)

1. Watts DD, Fakhry SM. Incidence of hollow viscus injury in blunt trauma: an analysis from 275,557 trauma admissions from the East multi-institutional trial. J Trauma. 2003;54:289-294.
2. Fakhry SM, Brownstein M, Watts DD, Baker CC, Oller D. Relatively short diagnostic delays (8 hours) produce morbidity and mortality in blunt small bowel injury: an analysis of time to operative intervention in 198 patients from a multicenter experience. J Trauma. 2000;48:408- 414; discussion 414-1405
3. Jansen JO, Yule SR, Loudon MA. Investigation of blunt abdominal trauma. BMJ. 2008;336:938-942.
4. Fakhry SM, Watts DD, Luchette FA. Current diagnostic approaches lack sensitivity in the diagnosis of perforated blunt small bowel injury: analysis from 275,557 trauma admissions from the EAST multi-institutional HVI trial. J Trauma. 2003;54:295-306.
5. Malhotra AK, Fabian TC, Katsis SB, et al. Blunt bowel and mesenteric injuries: the role of screening computed tomography. J Trauma. 2000; 48:991-998; discussion 998-1000.
6. Ekeh AP, Saxe J, Walusimbi M, et al. Diagnosis of blunt intestinal and mesenteric injury in the era of multidetector CT technology-are results better? J Trauma. 2008;65:354-359.
7. Bensard DD, Beaver BL, Besner GE, Cooney DR. Small bowel injury in children after blunt abdominal trauma: is diagnostic delay important? J Trauma. 1996;41:476-483.
8. Kafie F, Tominaga GT, Yoong B, Waxman K. Factors related to outcome in blunt intestinal injuries requiring operation. Am Surg. 1997; 63:889-892.
9. Frick EJ Jr, Pasquale MD, Cipolle MD. Small-bowel and mesentery injuries in blunt trauma. J Trauma. 1999;46:920-926.
10. Allen GS, Moore FA, Cox CS Jr, Wilson JT, Cohn JM, Duke JH. Hollow visceral injury and blunt trauma. J Trauma. 1998;45:69 -75; discussion 75-168
11. Brownstein MR, Bunting T, Meyer AA, Fakhry SM. Diagnosis and management of blunt small bowel injury: a survey of the membership of the American Association for the Surgery of Trauma. J Trauma. 2000; 48:402-407.
12. Niederee MJ, Byrnes MC, Helmer SD, Smith RS. Delay in diagnosis of hollow viscus injuries: effect on outcome. Am Surg. 2003;69:293-298; discussion 298-299.