Nonoperative management of blunt abdominal solid organ injury: Are we paying enough attention to patients on preinjury anticoagulation?

This study aims to assess the impact of pre-injury anticoagulant use on outcomes of isolated blunt abdominal SOI patients who underwent NOM. A 1-year(2017) analysis of the ACS-TQIP. We included all ≥18yrs trauma patients with isolated blunt abdominal-SOI who underwent NOM. Patients were stratified i...

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Veröffentlicht in:The American journal of surgery 2022-11, Vol.224 (5), p.1308-1313
Hauptverfasser: Reina, Raul, Anand, Tanya, Bhogadi, Sai K., Nelson, Adam, Hosseinpour, Hamidreza, Ditillo, Michael, El-Qawaqzeh, Khaled, Castanon, Lourdes, Stewart, Collin, Joseph, Bellal
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Sprache:eng
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Zusammenfassung:This study aims to assess the impact of pre-injury anticoagulant use on outcomes of isolated blunt abdominal SOI patients who underwent NOM. A 1-year(2017) analysis of the ACS-TQIP. We included all ≥18yrs trauma patients with isolated blunt abdominal-SOI who underwent NOM. Patients were stratified into two groups based on their history of pre-injury anticoagulant use. Propensity score matching was performed. A matched cohort of 2709 patients (AC, 903; No-AC,1806) was analyzed. Compared to the No-AC group, the AC group had higher rates of failure of NOM(2.6% vs. 4.5%, p = 0.03), cardiac arrest (1.2%vs. 3.1%, p = 0.02), acute kidney injury (2.4% vs. 4.2%, p 
ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2022.06.019