Analysis of trauma patients with unplanned returns to the operating room.
Unplanned return to the operating room
re-incision laparotomy
re-incision thoracotomy
return to the operating room
trauma
Journal
Turkish journal of surgery
ISSN: 2564-6850
Titre abrégé: Turk J Surg
Pays: Turkey
ID NLM: 101704837
Informations de publication
Date de publication:
Mar 2019
Mar 2019
Historique:
received:
09
04
2018
accepted:
08
08
2018
entrez:
19
6
2020
pubmed:
1
3
2019
medline:
1
3
2019
Statut:
epublish
Résumé
Trauma patients undergoing damage-control surgery may have a planned return to the operating room. In contrast, little is known about unplanned returns to the operating room (uROR) in trauma. The aim of this study was to identify risk factors for uROR in trauma patients. It is hypothesized that blunt trauma patients with uROR have higher mortality when compared to penetrating trauma patients with uROR. Additionally, it is hypothesized that trauma patients with uROR after thoracotomy have higher mortality than patients with uROR after laparotomy. A retrospective analysis of the National Trauma Data Bank from 2011-2015 including any adult patient with an uROR was performed. From 3.447.320 patients, 9.269 (0.2%) were identified to have uROR. In a multivariable logistic regression analysis, 27 independent predictors were identified for risk of uROR with the strongest independent risk factor being compartment syndrome (OR= 10.50, CI= 9.35-11.78, p <0.001). Blunt (compared to penetrating) mechanism was associated with higher risk for mortality in patents with uROR (OR= 1.69, CI= 1.14-2.51, p <0.001) as was re-incision thoracotomy (RT) compared to re-incision laparotomy (RL) (OR= 2.22, CI= 1.29-3.84, p <0.001). The strongest risk factor for uROR in trauma is compartment syndrome. Both a blunt (compared to penetrating) mechanism and RT (compared to RL) are independent risk factors for mortality in patients undergoing an uROR.
Identifiants
pubmed: 32550304
doi: 10.5578/turkjsurg.4182
pmc: PMC6791672
doi:
Types de publication
Journal Article
Langues
eng
Pagination
54-61Informations de copyright
Copyright © 2019, Turkish Surgical Society.
Déclaration de conflit d'intérêts
Conflict of Interest: The authors have no conflicts of interest to declare.
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