Predictive Factors Of Morbidity And Mortality In Hepatic Trauma [fatores Preditivos De Morbidade E Mortálidade No Trauma Hepático]

dc.creatorDiorio A.C.
dc.creatorFraga G.P.
dc.creatorDutra Jr. I.
dc.creatorJoaquim J.L. de G.
dc.creatorMantovani M.
dc.date2008
dc.date2015-06-30T19:26:09Z
dc.date2015-11-26T14:31:56Z
dc.date2015-06-30T19:26:09Z
dc.date2015-11-26T14:31:56Z
dc.date.accessioned2018-03-28T21:35:18Z
dc.date.available2018-03-28T21:35:18Z
dc.identifier
dc.identifierRevista Do Colegio Brasileiro De Cirurgioes. , v. 35, n. 6, p. 397 - 405, 2008.
dc.identifier1006991
dc.identifier
dc.identifierhttp://www.scopus.com/inward/record.url?eid=2-s2.0-64549164151&partnerID=40&md5=159652c5f49841b20eafea0c0262c3b3
dc.identifierhttp://www.repositorio.unicamp.br/handle/REPOSIP/106205
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/106205
dc.identifier2-s2.0-64549164151
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1247487
dc.descriptionBackground: The aim of this study was to evaluate predictive factors of morbidity and mortality in patients operated on for liver trauma. Methods: Six hundred thirty eight patients were studied from 1990 to 2003 regarding their epidemiologic, physiologic and anatomic data and the predictive values associated with complications and death were statistically analyzed. Results: Penetrating trauma was the most frequent mechanism of trauma. Hemodynamic instability occurred in 21.1% of the victims and mean Injury Severity Score (ISS) was 20.7. Most liver injuries were grade III. Morbidity was 50.4% and the most common liver related complications were: persistent bleeding (9.8%); intraperitoneal abscess (3.8%) and biliary fistula (3%). Complications not related to the liver occurred in 273 patients (42.8%). Mortality was 22.1% (141 cases), and it occurred mainly due to persistent bleeding and sepsis. Fatal victims were more unstable during admission, with worst physiological status, more complex liver injuries and higher anatomical scores when in comparison with the other patients. Conclusion: We found that the predictive factors for liver complications were: age higher than 60 years-old, hemodynamic instability and altered physiological status during admission, complex liver injuries (grade > III), and higher anatomical scores (Abdominal Trauma Index and ISS = 25). All these variables, and the existence of associated abdominal and extra-abdominal injuries, and blunt mechanism of trauma were predictive of the occurrence of liver unrelated complications. All the studied factors, except for associated abdominal injuries, were predictive of death.
dc.description35
dc.description6
dc.description397
dc.description405
dc.descriptionPachter, H.L., Spencer, F.C., Hofstetter, S.R., Liang, H.G., Coppa, G.F., Significant trends in the treatment of hepatic trauma. Experience with 411 injuries (1992) Ann Surg, 215 (5), pp. 492-500. , discussion 500-2
dc.descriptionGür, S., Orsel, A., Atahan, K., Hökmez, A., Tarcan, E., Surgical treatment of liver trauma (analyses of 244 patients) (2003) Hepatogastroenterology, 50 (54), pp. 2109-2111
dc.descriptionCoughlin, P.A., Stringer, M.D., Lodge, J.P., Pollard, S.G., Prasad, K.R., Toogood, G.J., Management of blunt liver trauma in a tertiary referral centre (2004) Br J Surg, 91 (3), pp. 317-321
dc.descriptionAsensio, J.A., Demetriades, D., Chahwan, S., Gomez, H., Hanpeter, D., Velmahos, G., Murray, J., Berne, T.V., Approach to the management of complex hepatic injuries (2000) J Trauma, 48 (1), pp. 66-69
dc.descriptionMohr, A.M., Lavery, R.F., Barone, A., Bahramipour, P., Magnotti, L.J., Osband, A.J., Sifri, Z., Livingston, D.H., Angiographic embolization for liver injuries: Low mortality, high morbidity (2003) J Trauma, 55, pp. 1071-1081. , discussion 1081-2
dc.descriptionTrunkey, D.D., Hepatic trauma: Contemporary management (2004) Surg Clin N Am, 84 (2), pp. 437-450
dc.descriptionScollay JM, Beard DR, Smith R, McKeown D, Garden OJ, Parks R. Eleven years of liver trauma: the Scottish experience. World J Surg. 2005
dc.description29(6):744-9.=Christmas, A.B., Wilson, A.K., Manning, B., Franklin, G.A., Miller, F.B., Richardson, J.D., Rodriguez, J.L., Selective management of blunt hepatic injuries including nonoperative management is a safe and effective strategy (2005) Surgery, 138 (4), pp. 606-610. , discussion 610-1
dc.descriptionSikhondze WL, Madiba TE, Naidoo NM, Muckart DJ. Predictors of outcome in patients requiring surgery for liver trauma. Injury. 2007
dc.description38(1):65-70. Epub 2006 Nov 13Pachter, H.L., Knudson, M.M., Esrig, B., Ross, S., Hoyt, D., Cogbill, T., Sherman, H., Shackford, S., Status of nonoperative management of blunt hepatic injuries in 1995: A multicenter experience with 404 patients (1996) J Trauma, 40 (1), pp. 31-38
dc.descriptionCiraulo, D.L., Luk, S., Palter, M., Cowell, V., Welch, J., Cortes, V., Orlando, R., Jacobs, L., Selective hepatic arterial embolization of grade IV and V blunt hepatic injuries: An extension of resuscitation in the nonoperative management of traumatic hepatic injuries (1998) J Trauma, 45 (2), pp. 353-358. , discussion 358-9
dc.descriptionDavid Richardson, J., Franklin, G.A., Lukan, J.K., Carrillo, E.H., Spain, D.A., Miller, F.B., Wilson, M.A., Flint, L.M., Evolution in the management of hepatic trauma: A 25 year perspective (2000) Ann Surg, 232 (3), pp. 324-330
dc.descriptionMoore, E.E., Cogbill, T.H., Jurkovich, G.J., Sharkford, S.R., Malangoni, M.A., Champion, H.R., Organ injury scaling: Spleen and liver (1994 revision) (1995) J Trauma, 38 (3), pp. 323-324
dc.descriptionKozar, R.A., Moore, J.B., Niles, S.E., Holcomb, J.B., Moore, E.E., Cothren, C.C., Hartwell, E., Moore, F.A., Complications of nonoperative management of high-grade blunt hepatic injuries (2005) J Trauma, 59 (5), pp. 1066-1071
dc.descriptionDemetriades, D., Hadjizacharia, P., Constantinou, C., Brown, C., Inaba, K., Rhee, P., Salim, A., Selective nonoperative management of penetrating abdominal solid organ injuries (2006) Ann Surg, 244 (4), pp. 620-628
dc.descriptionKozar, A.R., Moore, F.A., Cothren, C.C., Moore, E.E., Sena, M., Bulger, E.M., Miller, C.C., Holcomb, J.B., Risk factors for hepatic morbidity following nonoperative management. A multicenter study (2006) Arch Surg, 141 (5), pp. 451-458. , discussion 48-9
dc.descriptionStracieri, L.D., Scarpelini, S., Hepatic injury (2006) Acta Cir Bras, 21 (SUPPL. 1), pp. 85-88
dc.descriptionCoimbra, R.S., (1992) Ferimentos hepáticos penetrantes: Estudo dos fatores relacionados à morbidade e mortalidade operatórias, , Dissertação, São Paulo SP, Faculdade de Ciências Médicas da Santa Casa de São Paulo;
dc.descriptionVon Bathen, L.C., Nicoluzzi, J.E., Olandoski, M., Pantanali, C.A., Silva, R.F., Trauma abdominal fechado: Análise dos pacientes vítimas de trauma hepático em um Hospital Universitário de Curitiba. (2005) Rev Col Bras Cir, 32 (6), pp. 316-320
dc.descriptionBrammer, R.D., Bramhall, S.R., Mirza, D.F., Mayer, A.D., McMaster, P., Buckels, J.A., A 10 years experience of complex liver trauma (2002) Br J Surg, 89 (12), pp. 1532-1537
dc.descriptionChen, R.J., Fang, J.F., Lin, B.C., Hsu, Y.P., Kao, J.L., Chen, M.F., Factors determining operative mortality of grade V blunt hepatic trauma (2000) J Trauma, 49 (5), pp. 886-891
dc.descriptionCogbill, T.H., Moore, E.E., Jurkovich, G.J., Feliciano, D.V., Morris, J., Mucha, P., Severe hepatic trauma: A multi-center experience with 1.335 liver injuries (1988) J Trauma, 28 (10), pp. 1433-1438
dc.descriptionWahl, L.W., Brandt, M.M., Hemmila, M.R., Arbabi, S., Diagnosis and management of bile leaks after blunt liver injury (2005) Surgery, 138 (4), pp. 742-747. , discussion 747-8
dc.descriptionNance, M.L., Peden, G.W., Shapiro, M.B., Kauder, D.R., Rotondo, M.F., Schwab, C.W., Solid viscus injury predictis major hollow viscus injury in blunt abdominal trauma (1997) J Trauma, 43 (4), pp. 618-622. , discussion 622-3
dc.descriptionVelmahos, G.C., Toutouzas, K., Radin, R., Chan, L., Rhee, P., Tillou, A., Demetriades, D., High success with nonoperative management of blunt hepatic trauma: The liver is a study organ (2003) Arch Surg, 138 (5), pp. 475-478. , discussion 480-1
dc.descriptionMantovani, M., Complicações do tratamento cirúrgico do trauma hepático. (2002) Revista FCM/UNICAMP, 9 (1), pp. 53-62
dc.descriptionFabian, T.C., Croce, M.A., Stanford, G.G., Payne, L.W., Mangiante, E.C., Voeller, G.R., Kudsk, K.A., Factors affecting morbidity following hepatic trauma. A prospective analysis of 482 injuries (1991) Ann Surg, 213 (6), pp. 540-547. , discussion 548
dc.descriptionDuane, T.M., Como, J.J., Bochicchio, G.V., Scalea, T.M., Reevaluating the management and outcomes of severe blunt liver injury (2004) J Trauma, 57 (3), pp. 494-500
dc.languagept
dc.publisher
dc.relationRevista do Colegio Brasileiro de Cirurgioes
dc.rightsaberto
dc.sourceScopus
dc.titlePredictive Factors Of Morbidity And Mortality In Hepatic Trauma [fatores Preditivos De Morbidade E Mortálidade No Trauma Hepático]
dc.typeArtículos de revistas


Este ítem pertenece a la siguiente institución