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Factors Affecting Morbidity in Solid Organ Injuries
Joint Authors
Pülat, Hüseyin
Karaköse, Oktay
Baygeldi, Serdar
Özcelik, Kazım Caglar
Damar, Sedat
Eken, Hüseyin
Zihni, İsmail
Çalta, Alpaslan Fedai
Baç, Bilsel
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-06-08
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Background and Aim.
The aim of this study was to investigate the effects of demographic characteristics, biochemical parameters, amount of blood transfusion, and trauma scores on morbidity in patients with solid organ injury following trauma.
Material and Method.
One hundred nine patients with solid organ injury due to abdominal trauma during January 2005 and October 2015 were examined retrospectively in the General Surgery Department of Dicle University Medical Faculty.
Patients’ age, gender, trauma interval time, vital status (heart rate, arterial tension, and respiratory rate), hematocrit (HCT) value, serum area aminotransferase (ALT) and aspartate aminotransferase (AST) values, presence of free abdominal fluid in USG, trauma mechanism, extra-abdominal system injuries, injured solid organs and their number, degree of injury in abdominal CT, number of blood transfusions, duration of hospital stay, time of operation (for those undergoing operation), trauma scores (ISS, RTS, Glasgow coma scale, and TRISS), and causes of morbidity and mortality were examined.
In posttraumatic follow-up period, intra-abdominal hematoma infection, emboli, catheter infection, and deep vein thrombosis were monitored as factors of morbidity.
Results.
One hundred nine patients were followed up and treated due to isolated solid organ injury following abdominal trauma.
There were 81 males (74.3%) and 28 females (25.7%), and the mean age was 37.6 ± 18.28 (15–78) years.
When examining the mechanism of abdominal trauma in patients, the following results were obtained: 58 (53.3%) traffic accidents (22 out-vehicle and 36 in-vehicle), 27 (24.7%) falling from a height, 14 (12.9%) assaults, 5 (4.5%) sharp object injuries, and 5 (4.5%) gunshot injuries.
When evaluating 69 liver injuries scaled by CT the following was detected: 14 (20.3%) of grade I, 32 (46.4%) of grade II, 22 (31.8%) of grade III, and 1 (1.5%) of grade IV.
In 63 spleen injuries scaled by CT the following was present: grade I in 21 (33.3%), grade II in 27 (42.9%), grade III in 11 (17.5%), and grade IV in 4 (6.3%).
The mean length of hospital stay after trauma was 6.46 days in the medically followed patients.
This ratio was 8.13 days in 22 patients with morbidity and 5.98 days in 78 patients without morbidity.
There was a morbidity in 22 (22%) patients medically followed after trauma.
In this study, nonoperative treatment was observed to be performed safely in solid organ injuries after trauma in case of absence of hemodynamic stability and peritoneal irritation.
It has been emphasized that injury of both liver and spleen ( p < 0.01 ), high respiratory rate ( p < 0.01 ), trauma scores (GKS, ISS, RTS) ( p < 0.0001 ), and elevation of ALT AST values ( p < 0.01 ) are stimulants for morbidity that may occur during follow-up.
Conclusion.
Medical follow-up can be considered in patients with high grade injuries similar to patients with low-grade solid organ injury after trauma.
The injury of both liver and spleen, high respiratory rate, high GCS and ISS, low RTS, and elevation of ALT AST values were found to increase morbidity again in the follow-up of these patients.
American Psychological Association (APA)
Baygeldi, Serdar& Karaköse, Oktay& Özcelik, Kazım Caglar& Pülat, Hüseyin& Damar, Sedat& Eken, Hüseyin…[et al.]. 2016. Factors Affecting Morbidity in Solid Organ Injuries. Disease Markers،Vol. 2016, no. 2016, pp.1-6.
https://search.emarefa.net/detail/BIM-1103748
Modern Language Association (MLA)
Baygeldi, Serdar…[et al.]. Factors Affecting Morbidity in Solid Organ Injuries. Disease Markers No. 2016 (2016), pp.1-6.
https://search.emarefa.net/detail/BIM-1103748
American Medical Association (AMA)
Baygeldi, Serdar& Karaköse, Oktay& Özcelik, Kazım Caglar& Pülat, Hüseyin& Damar, Sedat& Eken, Hüseyin…[et al.]. Factors Affecting Morbidity in Solid Organ Injuries. Disease Markers. 2016. Vol. 2016, no. 2016, pp.1-6.
https://search.emarefa.net/detail/BIM-1103748
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1103748