Predicting mortality in damage control surgery for major abdominal trauma

  • Timmermans J
  • Nicol A
  • Nick K
 et al. 
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Background. Damage control surgery (DCS) has become well established in the past decade as the surgical strategy to be employed in the unstable trauma patient. The aim of this study was to determine which factors played a predictive role in determining mortality in patients undergoing a damage control laparotomy. Materials and methods. A retrospective review of all pa- tients undergoing a laparotomy and DCS in a level 1 trauma centre over a 3-year period was performed. Twenty-nine po- tentially predictive variables for mortality were analysed. Results. Of a total of 1 274 patients undergoing a laparot- omy for trauma, 74 (6%) required a damage control proce- dure. The mean age was 28 years (range 14 - 53 years). The mechanism of injury was gunshot wounds in 57 cases (77%), blunt trauma in 14 (19%) and stabs in 3 (4%). Twenty patients died, giving an overall mortality rate of 27%. Factors signifi- cantly associated with increased mortality were increasing age (p=0.001), low base excess (p=0.002), pH (p

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  • Joep Timmermans

  • Andrew Nicol

  • Kairinos Nick

  • Joep Teijink

  • MArtin Prins

  • Pradeep Navsaria

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