What question did this study set out to answer?

To evaluate the impact of preexisting hepatic cirrhosis on survival and in-hospital complications among trauma patients undergoing emergent exploratory laparotomy.

November 1, 2000The American Surgeon

Trauma in Cirrhotics: Survival and Hospital Sequelae in Patients Requiring Abdominal Exploration

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Authors

KWKyle WahlstromUniversity of Minnesota ANArthur L. NeyHennepin County Medical Center SJS. JacobsonUniversity Hospital of Umeå

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Implication

Matched cohort study reveals a sevenfold increase in mortality among cirrhotic patients undergoing emergent laparotomy for trauma, indicating cirrhosis is an independent risk factor for fatal...

Key Points

To evaluate the impact of preexisting hepatic cirrhosis on survival and in-hospital complications among trauma patients undergoing emergent exploratory laparotomy.
Retrospective registry study comparing 17 cirrhotic trauma patients requiring emergent exploratory laparotomy to 73 controls matched by age, sex, Injury Severity Score (ISS), and Abbreviated Injury score.
Categorical variables including mortality were assessed using Fisher's exact test, and continuous variables including hospital and intensive care unit days were compared via Student's t test.
Cirrhotic patients had a fourfold increase in mortality compared with controls despite similar ISS (mortality OR = 7.2; 95% CI = 2.2–24.0).
Trauma patients with cirrhosis experienced an overall mortality rate of 44% and a complication rate of 71% following emergent abdominal exploration.

Cite This Study

Wahlstrom et al. (2000) studied this question.

synapsesocial.com/papers/6a836e92f7bee338af29ad41 https://doi.org/10.1177/000313480006601120

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Implication

Matched cohort study reveals a sevenfold increase in mortality among cirrhotic patients undergoing emergent laparotomy for trauma, indicating cirrhosis is an independent risk factor for fatal...

Trauma in Cirrhotics: Survival and Hospital Sequelae in Patients Requiring Abdominal Exploration

Discussion

Member takes

Implication

Key Points

Cite This Study

Trauma in Cirrhotics: Survival and Hospital Sequelae in Patients Requiring Abdominal Exploration

Discussion

Member takes

Implication

Key Points

Cite This Study

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