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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
A novel practical scoring for early diagnosis of traumatic bowel injury without obvious solid organ injury in hemodynamically stable patients
International Journal of Surgery, Volume 12, No. 4, Year 2014
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Description
Objectives: To develop a scoring tool based on clinical and radiological findings for early diagnosis and intervention in hemodynamically stable patients with traumatic bowel and mesenteric injury (TBMI) without obvious solid organ injury (SOI). Methods: A retrospective analysis was conducted for all traumatic abdominal injury patients in Qatar from 2008 to 2011. Data included demographics and clinical, radiological and operative findings. Multivariate logistic regression was performed to analyze the predictors for the need of therapeutic laparotomy. Results: A total of 105 patients met the inclusion criteria with a mean age of 33±15. Motor Vehicle Crashes (58%) and fall (21%) were the major MOI. Using Receiver operating characteristic curve, Z-score of >9 was the cutoff point (AUC=0.98) for high probability of the presence of TBMI requiring surgical intervention. Z-Score >9 was found to have sensitivity (96.7%), specificity (97.4%), PPV (93.5%) and NPV (98.7%). Multivariate regression analysis found Z-score (>9) to be an independent predictor for the need of exploratory laparotomy (OR7.0; 95% CI: 2.46-19.78, p=0.001). Conclusion: This novel tool for early diagnosis of TBMI is found to be simple and helpful in selecting stable patients with free intra-abdominal fluid without SOI for exploratory Laparotomy. However, further prospective studies are warranted. © 2014 Surgical Associates Ltd.
Authors & Co-Authors
Zarour, Ahmad M.
Qatar, Doha
Hamad General Hospital
El-Menyar, Ayman Ahmed
Qatar, Doha
Hamad Medical Corporation
Qatar, Doha
Weill Cornell Medicine-qatar
Khattabi, Mazen
Qatar, Doha
Hamad General Hospital
Tayyem, Raed M.
United Kingdom, Argyll
Oban Hospital
Hamed, Osama H.
Jordan, Amman
King Hussein Cancer Center
Mahmood, Ismail
Qatar, Doha
Hamad General Hospital
Abdelrahman, Husham
Qatar, Doha
Hamad General Hospital
Chiu, William C.
United States, Baltimore
University of Maryland r Adams Cowley Shock Trauma Center
Al-Thani, Hassan Ali Saoud
Qatar, Doha
Hamad General Hospital
Statistics
Citations: 13
Authors: 9
Affiliations: 6
Identifiers
Doi:
10.1016/j.ijsu.2014.01.011
ISSN:
17439191
e-ISSN:
17439159
Research Areas
Health System And Policy
Violence And Injury
Study Design
Randomised Control Trial
Cohort Study
Exploratory Study
Study Approach
Quantitative