Title

Independent predictors of morbidity and mortality in blunt colon trauma

UMMS Affiliation

Department of Cell Biology; Information Services, Academic Computing Services; Department of Surgery

Date

2-18-2004

Document Type

Article

Subjects

Adolescent; Adult; Cerebral Hemorrhage; Cohort Studies; Colon; Digestive System Surgical Procedures; Female; Heart Injuries; Humans; Liver; Lung; Male; Middle Aged; Multiple Trauma; Predictive Value of Tests; Rectum; Sex Factors; Wounds, Nonpenetrating

Disciplines

Gastroenterology | Surgery

Abstract

We sought to determine the impact of (1) grade of the colon injury, (2) the formation of an ostomy, and (3) associated injuries on outcomes such as morbidity and mortality after blunt colon injuries. We retrospectively reviewed 16,814 cases of blunt abdominal trauma. Patients with colonic injuries were selected and charts reviewed for demographic, clinical, and outcomes data. Injuries were grouped by the Colon Injury Scale (grades I-V). Independent risk factors of morbidity included spine and lung injuries, as well as increased age. A higher grade of colon injury trended toward a significant association with intra-abdominal complications. Independent risk factors of mortality included liver, heart, and lung injuries, as well as intracerebral blood and female gender. The grade of colon injury, the formation of an ostomy, and management of the colon trauma did not independently predict increased intra-abdominal complications, morbidity, or mortality. These results indicate that patients afflicted with blunt colon trauma experience a high rate of morbidity and mortality from associated injuries and or increased age. Treatment regimens directed at these factors will be most helpful in reducing the high morbidity and mortality after blunt colon trauma. Factors such as ostomy formation and management strategy are not associated with increased morbidity or mortality after blunt colon trauma.

Rights and Permissions

Citation: Am Surg. 2004 Jan;70(1):75-9.

Related Resources

Link to article in PubMed

PubMed ID

14964554