AI Article Synopsis
- The study examined whether HIV status affects outcomes in hemodynamically stable patients undergoing laparotomy for penetrating abdominal trauma.
- The research included data from 209 patients, showing that 13% were HIV positive, with a low death rate and significant complication rates overall; however, most outcomes were similar regardless of HIV status.
- Key findings indicated that factors like the penetrating abdominal trauma index (PATI), age, and trauma score influenced complications and ICU admissions, but HIV status did not impact the overall outcomes significantly.
Article Abstract
Background: The purpose of this study was to determine whether the outcomes of hemodynamically stable patients undergoing exploratory laparotomy for penetrating abdominal trauma differed as a result of their HIV status.
Methods: This was an observational, prospective study from February 2016 to May 2017. All hemodynamically stable patients with penetrating abdominal trauma requiring a laparotomy were included. The mechanism of injury, the HIV status, age, the penetrating abdominal trauma index (PATI), and the revised trauma score (RTS) were entered into a binary logistic regression model. Outcome parameters were in-hospital death, morbidity, admission to intensive care unit (ICU), relaparotomy within 30 days, and length of stay longer than 30 days.
Results: A total of 209 patients, 94% male, with a mean age of 29 ± 10 years were analysed. Twenty-eight patients (13%) were HIV positive. The two groups were comparable. Ten (4.8%) laparotomies were negative. There were two (0.96%) deaths, both in the HIV negative group. The complication rate was 34% (n = 72). Twenty-nine patients (14%) were admitted to the ICU. A higher PATI, older age, and a lower RTS were significant risk factors for ICU admission. After 30 days, 12 patients (5.7%) were still in hospital. Twenty-four patients (11%) underwent a second laparotomy. The PATI score was the single independent predictor for complications, relaparotomy, and hospital stay longer than 30 days.
Conclusions: Preliminary results reveal that HIV status does not influence outcomes in patients with penetrating abdominal trauma.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1007/s00268-018-4502-4 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Common Iliac Vein Injury Due to a Rectal Impalement Wound Treated Conservatively.
Am J Case Rep
December 2024
Department of Emergency and Critical Care Medicine, Nippon Medical School Musashi Kosugi Hospital, Kawasaki, Kanagawa, Japan.
BACKGROUND Iliac vein injuries usually require surgical intervention due to their high mortality rates. Although conservative management may be applicable in some cases of blunt trauma, the suitability of this approach for treating penetrating injuries remains underexplored. CASE REPORT A 51-year-old man sustained a common iliac vein injury following rectal impalement in a collapsing chair.
View Article and Find Full Text PDFHigh Joule heat as a risk factor for post-endoscopic submucosal dissection electrocoagulation syndrome: A multicenter prospective study.
World J Gastrointest Endosc
December 2024
Department of Gastroenterology, Hitachi General Hospital, Ibaraki 317-0077, Japan.
Background: Thermal damage may lead to inflammation of the peeled mucosal surface during endoscopic submucosal dissection (ESD).
Aim: To determine the effect of Joule heat on the onset of post-ESD electrocoagulation syndrome (PECS).
Methods: In this prospective study, PECS was characterized by in-hospital fever (white blood cell count: ≥ 10000 μ/L or body temperature ≥ 37.
Pancreaticoduodenectomy in trauma patients with grade IV-V duodenal or pancreatic injuries: a post hoc analysis of an EAST multicenter trial.
Trauma Surg Acute Care Open
December 2024
University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
Introduction: The utility of pancreaticoduodenectomy (PD) for high-grade traumatic injuries remains unclear and data surrounding its use are limited. We hypothesized that PD does not result in improved outcomes when compared with non-PD surgical management of grade IV-V pancreaticoduodenal injuries.
Methods: This is a retrospective, multicenter analysis from 35 level 1 trauma centers from January 2010 to December 2020.
Traumatic abdominal wall hernia (TAWH) is a rare but serious condition resulting from blunt abdominal trauma, characterized by the herniation of bowel or abdominal organs through a disrupted musculature and fascia without skin penetration. This report describes a unique case of a 24-year-old man who sustained a high-velocity blunt abdominal injury from a motorcycle handlebar during a road traffic accident. The clinical presentation, diagnostic challenges, surgical intervention, and postoperative recovery are discussed to emphasize the importance of the early recognition and management of TAWH in trauma patients.
View Article and Find Full Text PDFGastrointestinal perforation caused by displaced contraceptive device: a case report.
Pan Afr Med J
December 2024
Department of Visceral Surgery, Fattouma Bourguiba Hospital, Monastir University, Monastir, Tunisia.
The intrauterine device (IUD) is a widely utilized contraceptive method. In cases of uterine rupture, an IUD can migrate to the intra-abdominal or pelvic cavity, leading to various complications such as gastrointestinal perforation. The aim of this study was to report a case of a 29-year-old woman presented with acute left lumber pain.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!