An Abdominal Seat Belt Sign is Associated With Similar Incidence of Hollow Viscus Injury but Increased In-Hospital Mortality in Older Adult Trauma Patients: A PCSA Multicenter Study.

abdominal seat belt sign blunt trauma older trauma patients

Journal

The American surgeon
ISSN: 1555-9823
Titre abrégé: Am Surg
Pays: United States
ID NLM: 0370522

Informations de publication

Date de publication:
22 May 2024
Historique:
medline: 22 5 2024
pubmed: 22 5 2024
entrez: 22 5 2024
Statut: aheadofprint

Résumé

The abdominal seat belt sign (SBS) is associated with an increased risk of hollow viscus injury (HVI). Older age is associated with worse outcomes in trauma patients. Thus, older trauma patients ≥65 years of age (OTPs) may be at an increased risk of HVI with abdominal SBS. Therefore, we hypothesized an increased incidence of HVI and mortality for OTPs vs younger trauma patients (YTPs) with abdominal SBS. This post hoc analysis of a multi-institutional, prospective, observational study (8/2020-10/2021) included patients Of the 754 patients included in this study from nine level-1 trauma centers, there were 110 (14.6%) OTPs and 644 (85.4%) YTPs. Older trauma patients were older (mean 75.3 vs 35.8 years old, Despite a similar rate of HVI, OTPs with an abdominal SBS had an increased rate of mortality and LOS. This suggests the need for heightened vigilance when caring for OTPs with abdominal SBS.

Sections du résumé

BACKGROUND BACKGROUND
The abdominal seat belt sign (SBS) is associated with an increased risk of hollow viscus injury (HVI). Older age is associated with worse outcomes in trauma patients. Thus, older trauma patients ≥65 years of age (OTPs) may be at an increased risk of HVI with abdominal SBS. Therefore, we hypothesized an increased incidence of HVI and mortality for OTPs vs younger trauma patients (YTPs) with abdominal SBS.
STUDY DESIGN METHODS
This post hoc analysis of a multi-institutional, prospective, observational study (8/2020-10/2021) included patients
RESULTS RESULTS
Of the 754 patients included in this study from nine level-1 trauma centers, there were 110 (14.6%) OTPs and 644 (85.4%) YTPs. Older trauma patients were older (mean 75.3 vs 35.8 years old,
CONCLUSION CONCLUSIONS
Despite a similar rate of HVI, OTPs with an abdominal SBS had an increased rate of mortality and LOS. This suggests the need for heightened vigilance when caring for OTPs with abdominal SBS.

Identifiants

DOI: 10.1177/00031348241256084 PMID: 38775262
pubmed: 38775262
doi: 10.1177/00031348241256084
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

31348241256084

Déclaration de conflit d'intérêts

Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Auteurs

Brittany G Sullivan (BG)

Division of Trauma, Burns, & Surgical Critical Care, University of California, Irvine, Orange, CA, USA.

Patrick T Delaplain (PT)

Division of Trauma, Burns, & Surgical Critical Care, University of California, Irvine, Orange, CA, USA.

Morgan Manasa (M)

Division of Trauma, Burns, & Surgical Critical Care, University of California, Irvine, Orange, CA, USA.
ORCID: 0000-0002-1859-7082

Erika Tay-Lasso (E)

Division of Trauma, Burns, & Surgical Critical Care, University of California, Irvine, Orange, CA, USA.

Walter L Biffl (WL)

Trauma Department, Scripps Memorial Hospital La Jolla, La Jolla, CA, USA.

Kathryn B Schaffer (KB)

Trauma Department, Scripps Memorial Hospital La Jolla, La Jolla, CA, USA.
ORCID: 0000-0002-3550-1679

Margaret Sundel (M)

Program in Trauma, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, Baltimore, MD, USA.

Samar Behdin (S)

Program in Trauma, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, Baltimore, MD, USA.

Mira Ghneim (M)

Program in Trauma, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, Baltimore, MD, USA.

Todd W Costantini (TW)

Division of Trauma, Surgical Critical Care, Burns and Acute Care Surgery, University of California San Diego School of Medicine, San Diego, CA, USA.

Jarrett E Santorelli (JE)

Division of Trauma, Surgical Critical Care, Burns and Acute Care Surgery, University of California San Diego School of Medicine, San Diego, CA, USA.

Emily Switzer (E)

Division of Acute Care Surgery, LAC+USC Medical Center, University of Southern California, Los Angeles, CA, USA.

Morgan Schellenberg (M)

Division of Acute Care Surgery, LAC+USC Medical Center, University of Southern California, Los Angeles, CA, USA.

Jessica A Keeley (JA)

Division of Trauma/Acute Care Surgery/Surgical Critical Care, Harbor-UCLA Medical Center, Torrance, CA, USA.

Dennis Y Kim (DY)

Division of Trauma/Acute Care Surgery/Surgical Critical Care, Harbor-UCLA Medical Center, Torrance, CA, USA.

Andrew Wang (A)

Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA.

Navpreet K Dhillon (NK)

Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA.

Deven Patel (D)

Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA.

Eric M Campion (EM)

Department of Surgery, Denver Health Medical Center, Denver, CO, USA.

Caitlin K Robinson (CK)

Department of Surgery, Denver Health Medical Center, Denver, CO, USA.

Susan Kartiko (S)

Department of Surgery, The George Washington University School of Medicine & Health Sciences, Washington, DC, USA.

Megan T Quintana (MT)

Department of Surgery, The George Washington University School of Medicine & Health Sciences, Washington, DC, USA.

Jordan M Estroff (JM)

Department of Surgery, The George Washington University School of Medicine & Health Sciences, Washington, DC, USA.

Katharine A Kirby (KA)

Center for Statistical Consulting, Department of Statistics, University of California Irvine, Irvine, CA, USA.

Jeffry Nahmias (J)

Division of Trauma, Burns, & Surgical Critical Care, University of California, Irvine, Orange, CA, USA.

Classifications MeSH