Predicting mortality in damage control surgery for major abdominal trauma

dc.contributor.authorTimmermans, Joep
dc.contributor.authorNicol, Andrew
dc.contributor.authorKairinos, Nick
dc.contributor.authorTeijink, Joep
dc.contributor.authorPrins, Martin
dc.contributor.authorNavsaria, Pradeep
dc.date.accessioned2016-05-16T08:10:43Z
dc.date.available2016-05-16T08:10:43Z
dc.date.issued2010
dc.date.updated2016-01-15T08:41:55Z
dc.description.abstractDamage control surgery (DCS) has become well established in the past decade as the surgical strategy to be employed in the unstable trauma patient. The aim of this study was to determine which factors played a predictive role in determining mortality in patients undergoing a damage control laparotomy. Materials and methods. A retrospective review of all patients undergoing a laparotomy and DCS in a level 1 trauma centre over a 3-year period was performed. Twenty-nine potentially predictive variables for mortality were analysed. Results. Of a total of 1 274 patients undergoing a laparotomy for trauma, 74 (6%) required a damage control procedure. The mean age was 28 years (range 14 - 53 years). The mechanism of injury was gunshot wounds in 57 cases (77%), blunt trauma in 14 (19%) and stabs in 3 (4%). Twenty patients died, giving an overall mortality rate of 27%. Factors significantly associated with increased mortality were increasing age (p=0.001), low base excess (p=0.002), pH (p<0.001), core temperature (p=0.002), and high blood transfusion requirement over 24 hours (p=0.002). Conclusion. The overall survival of patients after damage control procedures for abdominal trauma is excellent (73%). The main factors that are useful in deciding when to initiate DCS are age, base excess, pH and the core temperature.en_ZA
dc.identifier.apacitationTimmermans, J., Nicol, A., Kairinos, N., Teijink, J., Prins, M., & Navsaria, P. (2010). Predicting mortality in damage control surgery for major abdominal trauma. <i>South African Journal of Surgery</i>, http://hdl.handle.net/11427/19656en_ZA
dc.identifier.chicagocitationTimmermans, Joep, Andrew Nicol, Nick Kairinos, Joep Teijink, Martin Prins, and Pradeep Navsaria "Predicting mortality in damage control surgery for major abdominal trauma." <i>South African Journal of Surgery</i> (2010) http://hdl.handle.net/11427/19656en_ZA
dc.identifier.citationTimmermans, J., Nicol, A., Kairinos, N., Teijink, J., Prins, M., & Navsaria, P. (2010). Predicting mortality in damage control surgery for major abdominal trauma. South African Journal of Surgery, 48(1).en_ZA
dc.identifier.issn0038-2353en_ZA
dc.identifier.ris TY - Journal Article AU - Timmermans, Joep AU - Nicol, Andrew AU - Kairinos, Nick AU - Teijink, Joep AU - Prins, Martin AU - Navsaria, Pradeep AB - Damage control surgery (DCS) has become well established in the past decade as the surgical strategy to be employed in the unstable trauma patient. The aim of this study was to determine which factors played a predictive role in determining mortality in patients undergoing a damage control laparotomy. Materials and methods. A retrospective review of all patients undergoing a laparotomy and DCS in a level 1 trauma centre over a 3-year period was performed. Twenty-nine potentially predictive variables for mortality were analysed. Results. Of a total of 1 274 patients undergoing a laparotomy for trauma, 74 (6%) required a damage control procedure. The mean age was 28 years (range 14 - 53 years). The mechanism of injury was gunshot wounds in 57 cases (77%), blunt trauma in 14 (19%) and stabs in 3 (4%). Twenty patients died, giving an overall mortality rate of 27%. Factors significantly associated with increased mortality were increasing age (p=0.001), low base excess (p=0.002), pH (p<0.001), core temperature (p=0.002), and high blood transfusion requirement over 24 hours (p=0.002). Conclusion. The overall survival of patients after damage control procedures for abdominal trauma is excellent (73%). The main factors that are useful in deciding when to initiate DCS are age, base excess, pH and the core temperature. DA - 2010 DB - OpenUCT DP - University of Cape Town J1 - South African Journal of Surgery LK - https://open.uct.ac.za PB - University of Cape Town PY - 2010 SM - 0038-2353 T1 - Predicting mortality in damage control surgery for major abdominal trauma TI - Predicting mortality in damage control surgery for major abdominal trauma UR - http://hdl.handle.net/11427/19656 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/19656
dc.identifier.vancouvercitationTimmermans J, Nicol A, Kairinos N, Teijink J, Prins M, Navsaria P. Predicting mortality in damage control surgery for major abdominal trauma. South African Journal of Surgery. 2010; http://hdl.handle.net/11427/19656.en_ZA
dc.languageengen_ZA
dc.publisherAcademy of Science of South Africaen_ZA
dc.publisher.departmentDepartment of Medicineen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rightsCreative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0)*
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/en_ZA
dc.sourceSouth African Journal of Surgeryen_ZA
dc.source.urihttp://www.ajol.info/index.php/sajs/article/view/53677
dc.titlePredicting mortality in damage control surgery for major abdominal traumaen_ZA
dc.typeJournal Articleen_ZA
uct.type.filetype
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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