...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of Emergencies, Trauma and Shock >Preoperative evaluation of penetrating esophageal trauma in the current era: An analysis of the National Trauma Data Bank
【24h】

Preoperative evaluation of penetrating esophageal trauma in the current era: An analysis of the National Trauma Data Bank

机译：当前时代穿透性食管创伤的术前评估：国家创伤数据库的分析

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background:Preoperative diagnostic evaluation (PDE) of penetrating esophageal injury (PeEsIn) can delay treatment and increase morbidity. We sought to study the relationship among PDE, delay in definitive treatment, and patient mortality in PeEsIn.Materials and Methods:The 2008-2010 National Trauma Data Banks were queried for PeEsIn. Exclusion criteria were death within 1 day of injury, and missing data about survival to discharge or operative intervention. Data extracted included demographics, vital signs, injury severity, diagnostic procedures (endoscopy, computed tomography, and fluoroscopy), time to procedures and/or operation, hospital-free days, and mortality.Results:Of 280 patients, 75 underwent PDE and 205 did not. There were no significant differences in baseline demographics, vital signs or injury severity between the two groups. The median time to the first operation was shorter in the nonPDE cohort compared to the PDE cohort (2 vs. 3 h; P = 0.018). Median hospital-free days at day 60 were significantly less in nonPDE (42 days, interquartile range ([IQR] = [28, 50]) versus PDE patients (47 days, IQR = [38, 51]) (P = 0.007). Mortality was not statistically different.Conclusions:PDE in PeEsIn slightly delays the time to operation without worsening mortality, and is a predictor of more hospital-free days.
机译：背景：食管穿透性穿透伤（PeEsIn）的术前诊断评估（PDE）可延迟治疗并增加发病率。我们试图研究PeEsIn中PDE，最终治疗延迟和患者死亡率之间的关系。材料和方法：向2008-2010年国家创伤数据库查询PeEsIn。排除标准为受伤后1天内死亡，以及出院或手术干预后的生存数据缺失。提取的数据包括人口统计学，生命体征，损伤严重程度，诊断程序（内窥镜检查，计算机断层扫描和透视检查），手术时间和/或手术时间，无病住院天数和死亡率。结果：280例患者中，有75例接受了PDE和205例没有。两组之间的基线人口统计学，生命体征或损伤严重程度无显着差异。与PDE组相比，非PDE组的首次手术中位时间短（2 vs. 3 h; P = 0.018）。与PDE患者（47天，IQR = [38，51]）相比，非PDE患者（第42天，四分位间距（[IQR] = [28，50]）在第60天无医院住院的中位数显着减少（P = 0.007）结论：PeEsIn中的PDE在不增加死亡率的情况下稍微延迟了手术时间，并且是更多无住院天数的预测指标。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号