Nonoperative Management of Solid Abdominal Organ Injuries from Blunt Trauma: Impact of Neurologic Impairment

The role of nonoperative management of solid abdominal organ injury from blunt trauma in neurologically impaired patients has been questioned. A statewide trauma registry was reviewed from January 1993 through December 1995 for all adult (age >12 years) patients with blunt trauma and an abdominal...

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Veröffentlicht in:	The American surgeon 2001-08, Vol.67 (8), p.793-796
Hauptverfasser:	Shapiro, Michael B., Nance, Michael L., Schiller, Henry J., Hoff, William S., Kauder, Donald R., Schwab, C. William
Format:	Artikel
Sprache:	eng
Schlagworte:	Abdominal Injuries - complications Abdominal Injuries - mortality Abdominal Injuries - therapy Adult Biological and medical sciences Craniocerebral Trauma - complications Glasgow Coma Scale Humans Injuries Injuries of the abdomen. Foreign bodies of the digestive system Kidney - injuries Length of Stay Liver - injuries Medical procedures Medical sciences Nervous system involvement in other diseases. Miscellaneous Neurology Registries Retrospective Studies Risk Assessment Spleen - injuries Stomach Traumas. Diseases due to physical agents Wounds, Nonpenetrating - mortality Wounds, Nonpenetrating - therapy
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Beschreibung
Zusammenfassung:	The role of nonoperative management of solid abdominal organ injury from blunt trauma in neurologically impaired patients has been questioned. A statewide trauma registry was reviewed from January 1993 through December 1995 for all adult (age >12 years) patients with blunt trauma and an abdominal solid organ injury (kidney, liver, or spleen) of Abbreviated Injury Scale score ≥2. Patients with initial hypotension (systolic blood pressure
ISSN:	0003-1348 1555-9823
DOI:	10.1177/000313480106700817