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- Title
CT after emergency surgery in penetrating trauma: a seven-year experience in a level I Nordic trauma center.
- Authors
Halldorsson, Kolbeinn; Nummela, Mari; Thorisdottir, Sigurveig; Oladottir, Gudrun; Koskinen, Seppo
- Abstract
Background: Patients with severe penetrating trauma may require emergency surgery on arrival, and postoperative computed tomography (CT) can reveal significant additional injuries. Purpose: To determine the utility of postoperative CT performed within 48 h of emergency surgery after penetrating trauma. Material and Methods: Trauma registry data were retrieved over a seven-year period at a single level 1 trauma center. All patients aged ≥17 years, admitted with penetrating injury, who underwent urgent surgery and postoperative CT imaging within 48 h, were included. Pre- and intraoperative medical records were compared to CT findings. Age, sex, Injury Severity Score (ISS), New Injury Severity Score (NISS), 30-day mortality, injury mechanism, surgical intervention, and intensive care unit length of stay were extracted. Results: Out of 1262 patients, 38 fulfilled the study criteria (36 men [94.7%], 2 women [5.3%]; mean age = 31.5 years. Stab wound (SW) was the most common injury mechanism (26/38, 68.4%) followed by gunshot wound (GSW; 10/38, 26.3%). Patients with GSWs were more severely injured than SW victims (median NISS = 34 [range = 3–75]; for GSWs = 34; for SWs = 26; P = 0.045). Out of 38 patients, 20 (52.6%) had additional findings at postoperative CT. Six patients (15.8%) had unidentified or underestimated findings at CT that were severe enough to warrant additional surgery or angiography. Conclusion: Postoperative CT imaging after emergency surgery in penetrating trauma is an important tool in evaluating the injury panorama. Out of 38 patients, 6 (15.8%) had findings at postoperative CT that warranted additional surgical or angiographic intervention.
- Subjects
SURGICAL emergencies; COMPUTED tomography; INTENSIVE care units; WOUNDS &; injuries; ANGIOGRAPHY
- Publication
Acta Radiologica, 2023, Vol 64, Issue 2, p684
- ISSN
0284-1851
- Publication type
Article
- DOI
10.1177/02841851221094966