Prognostic factors, morbidity and mortality in pancreatic trauma: A critical appraisal of 432 consecutive patients treated at a Level 1 Trauma Centre

摘要: Abstract Background This large retrospective observational cohort study evaluated prognostic factors, 30-day morbidity and mortality complications related to the pancreas in patients who had sustained pancreatic injuries. Methods The records of 432 consecutive treated for injuries at an urban Level 1 Trauma Centre Cape Town between January 1982 December 2012 were reviewed. Primary endpoints postoperative death. Bivariate multivariate logistic regression analyses used assess significant predictors mortality. Results Overall [394 men, median age 26, RTS 7.8] was 15.7% 66%. analysis showed that nine age, RTS, presence shock, need a transfusion, volume blood transfused, damage control surgery, AAST grade injury, associated vascular injury repeat laparotomy morbidity. In final model however only two variables, When factors with considered, found 11 required major number units laparotomy, 3, 4, 5 injuries, days ICU significant. However stepwise five transfused Conclusions Morbidity 64% 15.7%. Most deaths due unrelated injury. Five These data indicate magnitude loss haemorrhagic shock are primary determinants survival urgent reversal bleeding essential reduce this patients.