Predicting mortality in damage control surgery for major abdominal trauma

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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.accessioned2021-10-08T07:17:46Z
dc.date.available2021-10-08T07:17:46Z
dc.date.issued2010
dc.description.abstractBACKGROUND: 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 was excellent (73%). The main factors that are useful in deciding when to initiate DCS are age, base excess, pH and the core temperature.
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>, 48(1), 6 - 9. http://hdl.handle.net/11427/34814en_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> 48, 1. (2010): 6 - 9. http://hdl.handle.net/11427/34814en_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. <i>South African Journal of Surgery.</i> 48(1):6 - 9. http://hdl.handle.net/11427/34814en_ZA
dc.identifier.issn0038-2361
dc.identifier.issn2078-5151
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 - BACKGROUND: 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 was 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 IS - 1 J1 - South African Journal of Surgery LK - https://open.uct.ac.za PY - 2010 SM - 0038-2361 SM - 2078-5151 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/11427/34814 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/34814
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;48(1):6 - 9. http://hdl.handle.net/11427/34814.en_ZA
dc.language.isoeng
dc.publisher.departmentDepartment of Medicine
dc.publisher.facultyFaculty of Health Sciences
dc.sourceSouth African Journal of Surgery
dc.source.journalissue1
dc.source.journalvolume48
dc.source.pagination6 - 9
dc.source.urihttps://dx.doi.org/10.7196/sajs.223
dc.subject.otherAbdominal Injuries
dc.subject.otherAdolescent
dc.subject.otherAdult
dc.subject.otherCritical Care
dc.subject.otherFemale
dc.subject.otherHemostasis, Surgical
dc.subject.otherHumans
dc.subject.otherMale
dc.subject.otherMiddle Aged
dc.subject.otherSurgical Procedures, Operative
dc.subject.otherSurvival Analysis
dc.subject.otherTraumatology
dc.subject.otherWounds, Gunshot
dc.subject.otherYoung Adult
dc.titlePredicting mortality in damage control surgery for major abdominal trauma
dc.typeJournal Article
uct.type.publicationResearch
uct.type.resourceJournal Article
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