Copyright
©The Author(s) 2016.
World J Hepatol. May 28, 2016; 8(15): 644-648
Published online May 28, 2016. doi: 10.4254/wjh.v8.i15.644
Published online May 28, 2016. doi: 10.4254/wjh.v8.i15.644
Group 1 (n = 23) | Group 2 (n = 35) | P value | |
Age (yr) | 36 (4-79) | 36 (5-75) | 0.762 |
Male:female | 16:7 | 23:12 | 0.760 |
Health background | 0.208 | ||
Good past health | 15 (65.2) | 28 (80.0) | |
With comorbidity | 8 (34.8) | 7 (20.0) | |
Type of trauma | 1 | ||
Blunt | 19 (82.6) | 29 (82.9) | |
Penetrative | 4 (17.4) | 6 (17.1) | |
Mechanism of injury | 0.077 | ||
Blunt injury | 5 (21.7) | 2 (5.7) | |
Fall from a height | 2 (8.7) | 6 (17.1) | |
Penetrative injury | 4 (17.4) | 3 (8.6) | |
Road traffic accident | 9 (39.1) | 23 (65.7) | |
Slip and fall | 3 (13.0) | 1 (2.9) | |
With initial CT done | 17 (73.9) | 25 (71.4) | 1 |
Reassessment CT | 0.367 | ||
Not done | 8 (34.8) | 15 (42.9) | |
Problem resolved | 15 (65.2) | 18 (51.4) | |
Complication seen | 0 (0) | 2 (5.7) | |
Hemodynamics | 0.036 | ||
Stable | 15 (65.2) | 13 (37.1) | |
Unstable | 8 (34.8) | 22 (62.9) | |
Management | 0.879 | ||
NOM | 7 (30.4) | 10 (28.6) | |
OM | 16 (69.6) | 25 (71.4) | |
Blood loss in OM (mL) | 300 (0-20000) | 1250 (0-24000) | 0.133 |
Blood transfusion | 0.018 | ||
No | 14 (60.9) | 10 (29.4) | |
Yes | 9 (39.1) | 24 (70.6) | |
Packed cells transfused (mL) | 0 (0-2390) | 1050 (0-10240) | 0.001 |
Radiological intervention | 1 | ||
No | 21 (91.3) | 30 (90.9) | |
Yes | 2 (8.7) | 3 (9.1) | |
ISS | 25 (16-75) | 45 (17-75) | < 0.0001 |
Grade of liver injury1 | 0.354 | ||
1 | 4 (17.4) | 3 (8.8) | |
2 | 5 (21.8) | 5 (14.7) | |
3 | 11 (47.8) | 12 (35.3) | |
4 | 2 (8.7) | 8 (23.5) | |
5 | 1 (4.3) | 5 (14.7) | |
6 | 0 (0) | 1 (2.9) | |
With complication | 4 (18.2) | 4 (11.4) | 0.747 |
Follow-up duration (mo) | 6 (0-60) | 3 (0-128) | 0.339 |
Dependent factor | |||
Mortality | |||
Variables put into the system for model selection | |||
ISS | |||
Location of injury (0: Liver only; 1: Liver and outside the liver) | |||
Hemodynamics (0: Stable; 1: Unstable) | |||
Variable remaining in the final logistic regression model | |||
Factor | P | Hazard ratio | 95%CI |
ISS | 0.004 | 1.035 | 1.011-1.060 |
- Citation: She WH, Cheung TT, Dai WC, Tsang SHY, Chan ACY, Tong DKH, Leung GKK, Lo CM. Outcome analysis of management of liver trauma: A 10-year experience at a trauma center. World J Hepatol 2016; 8(15): 644-648
- URL: https://www.wjgnet.com/1948-5182/full/v8/i15/644.htm
- DOI: https://dx.doi.org/10.4254/wjh.v8.i15.644