Academic Journal
The Epidemiology of and Outcome from Pancreatoduodenal Trauma in the UK, 1989–2013
| Τίτλος: | The Epidemiology of and Outcome from Pancreatoduodenal Trauma in the UK, 1989–2013 |
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| Συγγραφείς: | Fiona Lecky, Ambareen Kausar, E J Dickson, O Bouamra, Derek A. O'Reilly, D J Malde |
| Πηγή: | O'Reilly, D A, Bouamra, O, Kausar, A, Malde, D J, Dickson, E J & Lecky, F 2015, 'The epidemiology of and outcome from pancreatoduodenal trauma in the UK, 1989-2013', Annals of the Royal College of Surgeons of England, vol. 97, no. 2, pp. 125-30. https://doi.org/10.1308/003588414X14055925060712 |
| Στοιχεία εκδότη: | Royal College of Surgeons of England, 2015. |
| Έτος έκδοσης: | 2015 |
| Θεματικοί όροι: | Adult, Male, Adolescent, Duodenum, Duodenum/injuries, Blood Pressure, Wounds, Nonpenetrating, Patient Admission/statistics & numerical data, Young Adult, 03 medical and health sciences, Age Distribution, Injury Severity Score, Patient Admission, 0302 clinical medicine, Humans, Registries, Sex Distribution, Pancreas/injuries, Accidents, Traffic/statistics & numerical data, Pancreas, United Kingdom/epidemiology, Multiple Trauma, Wounds, Penetrating/diagnosis, Traffic/statistics & numerical data, Accidents, Traffic, Length of Stay, Middle Aged, Wounds, Nonpenetrating/diagnosis, United Kingdom, Multiple Trauma/epidemiology, 3. Good health, Intensive Care Units, Length of Stay/statistics & numerical data, 13. Climate action, Accidents, Penetrating/diagnosis, Wounds, Female, Nonpenetrating/diagnosis |
| Περιγραφή: | Introduction Pancreatoduodenal (PD) injury is an uncommon but serious complication of blunt and penetrating trauma, associated with high mortality. The aim of this study was to assess the incidence, mechanisms of injury, initial operation rates and outcome of patients who sustained PD trauma in the UK from a large trauma registry, over the period 1989–2013. Methods The Trauma Audit and Research Network database was searched for details of any patient with blunt or penetrating trauma to the pancreas, duodenum or both. Results Of 356,534 trauma cases, 1,155 (0.32%) sustained PD trauma. The median patient age was 27 years for blunt trauma and 27.5 years for penetrating trauma. The male-to-female ratio was 2.5:1. Blunt trauma was the most common type of injury seen, with a ratio of blunt-to-penetrating PD injury ratio of 3.6:1. Road traffic collision was the most common mechanism of injury, accounting for 673 cases (58.3%). The median injury severity score (ISS) was 25 (IQR: 14–35) for blunt trauma and 14 (IQR: 9–18) for penetrating trauma. The mortality rate for blunt PD trauma was 17.6%; it was 12.2% for penetrating PD trauma. Variables predicting mortality after pancreatic trauma were increasing age, ISS, haemodynamic compromise and not having undergone an operation. Conclusions Isolated pancreatic injuries are uncommon; most coexist with other injuries. In the UK, a high proportion of cases are due to blunt trauma, which differs from US and South African series. Mortality is high in the UK but comparison with other surgical series is difficult because of selection bias in their datasets. |
| Τύπος εγγράφου: | Article |
| Γλώσσα: | English |
| ISSN: | 1478-7083 0035-8843 |
| DOI: | 10.1308/003588414x14055925060712 |
| Σύνδεσμος πρόσβασης: | https://europepmc.org/articles/pmc4473389?pdf=render https://pubmed.ncbi.nlm.nih.gov/25723689 https://research.manchester.ac.uk/en/publications/33577c07-bbb4-454e-a8cc-2fba54f1bf26 https://doi.org/10.1308/003588414X14055925060712 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4473389 https://www.safetylit.org/citations/index.php?fuseaction=citations.viewdetails&citationIds[]=citjournalarticle_476599_34 https://publishing.rcseng.ac.uk/doi/10.1308/003588414X14055925060712 https://publishing.rcseng.ac.uk/doi/pdf/10.1308/003588414X14055925060712 https://pubmed.ncbi.nlm.nih.gov/25723689/ https://www.ncbi.nlm.nih.gov/pubmed/25723689 |
| Αριθμός Καταχώρησης: | edsair.doi.dedup.....170603d4df5d8ee4493d135290c86fb6 |
| Βάση Δεδομένων: | OpenAIRE |
| ISSN: | 14787083 00358843 |
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| DOI: | 10.1308/003588414x14055925060712 |