지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.11
- 수록면
- 108 - 113 (6page)
- DOI
- 10.17479/jacs.2021.11.3.108
이용수
초록· 키워드
오류제보하기
Purpose: The prognosis of an emergent laparotomy in hypotensive patients is poor. This study aimed to review the outcomes of hypotensive patients who had emergent laparotomies and elucidate the risk factors of mortality.Methods: Patients who underwent an emergent laparotomy from January 2011 to December 2019 were retrospectively reviewed. The exclusion criteria included initial systolic blood pressure > 90 mmHg, aged < 19 years, and cardiac arrest before the laparotomy. Patients were categorized into survival groups (survived or deceased). Univariate and multivariate analyses were conducted to determine the risk factors of mortality. The time from the laparotomy to death was also reviewed and the effect of organ injury.Results: There were 151 patient records, analyzed 106 survivors, and 45 deceased. The overall mortality was 29.8%. Liver injury was the main organ-related event leading to an emergent laparotomy, and most patients died in the early phase following the laparotomy. Following multivariate analysis, the Glasgow Coma Scale score [odds ratio (95% confidential interval) 0.733 (0.586-0.917), p = 0.007], total red blood cell transfusion volume in 24 hours[1.111 (1.049-1.176), p < 0.001], major bleed from the liver [3.931 (1.203-12.850), p = 0.023], and blood lactate [1.173 (1.009-1.362), p = 0.037] were identified as risk factors for mortality.Conclusion: Glasgow Coma Scale score, total red blood cell transfusion volume in 24 hours, major bleed from the liver, and lactate were identified as risk factors for mortality. Initial resuscitation and management of liver injuries have major importance following trauma.
목차
등록된 정보가 없습니다.
참고문헌 (21)
참고문헌 신청
Cannon JW / 2018 / Hemorrhagic Shock / N Engl J Med 378(4):370~379
Weber DG / 2014 / Damage control surgery for abdominal emergencies / Br J Surg 101(1):e109~e118
Clarke JR / 2002 / Time to laparotomy for intra-abdominal bleeding from trauma does affect survival for delays up to 90 minutes / J Trauma 52(3):420~425
Harvin JA / 2017 / Mortality after emergent trauma laparotomy: A multicenter, retrospective study / J Trauma Acute Care Surg 83(3):464~468
Kang WS / 2019 / Quality Improvement of damage control laparotomy : Impact of the establishment of a single Korean regional trauma center / World J Surg 43(11):2814~2821
Weber DG / 2014 / Damage control surgery for abdominal emergencies / Br J Surg 101(1):e109~e118
Clarke JR / 2002 / Time to laparotomy for intra-abdominal bleeding from trauma does affect survival for delays up to 90 minutes / J Trauma 52(3):420~425
Harvin JA / 2017 / Mortality after emergent trauma laparotomy: A multicenter, retrospective study / J Trauma Acute Care Surg 83(3):464~468
Kang WS / 2019 / Quality Improvement of damage control laparotomy : Impact of the establishment of a single Korean regional trauma center / World J Surg 43(11):2814~2821
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