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Outcomes for advanced aged (35 and older) versus younger aged pregnant trauma patients: A multicenter study.
Aryan, Negaar; Grigorian, Areg; Lucas, Alexa N; Tay-Lasso, Erika; Zezoff, Danielle C; Fierro, Nicole; Dhillon, Navpreet K; Ley, Eric J; Smith, Jennifer; Dahan, Alden; Johnson, Arianne; Ganske, William; Biffl, Walter L; Bayat, Dunya; Castelo, Matthew; Wintz, Diane; Schaffer, Kathryn B; Zheng, Dennis J; Tillou, Areti; Coimbra, Raul; Santorelli, Jarrett E; Schellenberg, Morgan; Inaba, Kenji; Emigh, Brent; Duncan, Thomas K; Diaz, Graal; Burruss, Sigrid; Tuli, Rahul; Nahmias, Jeffry.
Afiliação
  • Aryan N; University of California, Irvine, Department of Surgery, Division of Trauma, Burns and Surgical Critical Care, Orange, California, USA. Electronic address: negaara@hs.uci.edu.
  • Grigorian A; University of California, Irvine, Department of Surgery, Division of Trauma, Burns and Surgical Critical Care, Orange, California, USA. Electronic address: agrigori@uci.edu.
  • Lucas AN; University of California, Irvine, Department of Surgery, Division of Trauma, Burns and Surgical Critical Care, Orange, California, USA. Electronic address: alexa.lucas.c@gmail.com.
  • Tay-Lasso E; University of California, Irvine, Department of Surgery, Division of Trauma, Burns and Surgical Critical Care, Orange, California, USA. Electronic address: elasso@hs.uci.edu.
  • Zezoff DC; University of California, Irvine, Department of Surgery, Division of Trauma, Burns and Surgical Critical Care, Orange, California, USA. Electronic address: dczezoff@uci.edu.
  • Fierro N; Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA. Electronic address: nicole.fierro@cshs.org.
  • Dhillon NK; Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA. Electronic address: navpreetkdhillon@gmail.com.
  • Ley EJ; Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA. Electronic address: eric.ley@cshs.org.
  • Smith J; Division of Trauma and Critical Care, Harbor-UCLA Hospital, Torrance, CA, USA. Electronic address: jsmith3@dhs.lacounty.gov.
  • Dahan A; University of California, Riverside School of Medicine, Riverside, CA, USA. Electronic address: alden.dahan@medsch.ucr.edu.
  • Johnson A; Cottage Health Research Institute, Santa Barbara Cottage Hospital, Santa Barbara, CA, USA. Electronic address: a11johns@sbch.org.
  • Ganske W; Cottage Health Research Institute, Santa Barbara Cottage Hospital, Santa Barbara, CA, USA. Electronic address: wganske@sbch.org.
  • Biffl WL; Trauma and Acute Care Surgery, Scripps Memorial Hospital, La Jolla, CA, USA. Electronic address: biffl.walter@scrippshealth.org.
  • Bayat D; Trauma and Acute Care Surgery, Scripps Memorial Hospital, La Jolla, CA, USA. Electronic address: bayat.dunya@scrippshealth.org.
  • Castelo M; Trauma and Acute Care Surgery, Scripps Memorial Hospital, La Jolla, CA, USA. Electronic address: castelo.matthewryan@scrippshealth.org.
  • Wintz D; Department of Surgery, Sharp Memorial Hospital, San Diego, CA, USA. Electronic address: diane.wintzmd@sharp.com.
  • Schaffer KB; Department of Surgery, Sharp Memorial Hospital, San Diego, CA, USA. Electronic address: kathryn.schaffer@sharp.com.
  • Zheng DJ; Department of Surgery, UCLA David Geffen School of Medicine, Los Angeles, CA, USA. Electronic address: dzheng@mednet.ucla.edu.
  • Tillou A; Department of Surgery, UCLA David Geffen School of Medicine, Los Angeles, CA, USA. Electronic address: atillou@mednet.ucla.edu.
  • Coimbra R; Riverside University Health System Medical Center, Comparative Effectiveness and Clinical Outcomes Research Center - CECORC, CA, USA. Electronic address: raulcoimbra62@yahoo.com.
  • Santorelli JE; Division of Trauma, Surgical Critical Care, Burns and Acute Care Surgery, University of California San Diego School of Medicine, San Diego, CA, USA. Electronic address: jsantorelli@health.ucsd.edu.
  • Schellenberg M; Division of Acute Care Surgery, LAC+USC Medical Center, University of Southern California, Los Angeles, CA, USA. Electronic address: morgan.schellenberg@med.usc.edu.
  • Inaba K; Division of Acute Care Surgery, LAC+USC Medical Center, University of Southern California, Los Angeles, CA, USA. Electronic address: kenji.inaba@med.usc.edu.
  • Emigh B; Division of Acute Care Surgery, LAC+USC Medical Center, University of Southern California, Los Angeles, CA, USA; Warren Alpert Medical School at Brown University, Department of Surgery, Division of Trauma, USA. Electronic address: brent_emigh@brown.edu.
  • Duncan TK; Department of Trauma, Ventura County Medical Center, Ventura, CA, USA. Electronic address: thomas.duncan@ventura.org.
  • Diaz G; Department of Trauma, Ventura County Medical Center, Ventura, CA, USA. Electronic address: graal.diaz@ventura.org.
  • Burruss S; Department of Trauma, Acute Care Surgery, Surgical Critical Care, Loma Linda Medical Center, Loma Linda, CA, USA. Electronic address: sburruss@llu.edu.
  • Tuli R; Comparative Effectiveness and Clinical Outcomes Research Center - CECORC, University of California Riverside School of Medicine, CA, USA. Electronic address: rahul.tuli@medsch.ucr.edu.
  • Nahmias J; University of California, Irvine, Department of Surgery, Division of Trauma, Burns and Surgical Critical Care, Orange, California, USA. Electronic address: jnahmias@hs.uci.edu.
Am J Surg ; 226(6): 798-802, 2023 12.
Article em En | MEDLINE | ID: mdl-37355376
BACKGROUND: Effects of advanced maternal age (AMA) pregnancies (defined as ≥35 years) on pregnant trauma patients (PTPs) are unknown. This study compared AMA versus younger PTPs, hypothesizing AMA PTPs have increased risk of fetal delivery (FD). METHODS: A retrospective (2016-2021) multicenter study included all PTPs. Multivariable logistic regression was used to evaluate risk of FD after trauma. RESULTS: A total of 950 PTPs were included. Both cohorts had similar gestational age and injury severity scores. The AMA group had increased injuries to the pancreas, bladder, and stomach (p < 0.05). There was no difference in rate or associated risk of FD between cohorts (5.3% vs. 11.4%; OR 0.59, CI 0.19-1.88, p > 0.05). CONCLUSION: Compared to their younger counterparts, some intra-abdominal injuries (pancreas, bladder, and stomach) were more common among AMA PTPs. However, there was no difference in rate or associated risk of FD in AMA PTPs, thus they do not require increased observation.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Traumatismos Abdominais Tipo de estudo: Clinical_trials Limite: Female / Humans / Pregnancy Idioma: En Revista: Am J Surg Ano de publicação: 2023 Tipo de documento: Article
Texto completo
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PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Traumatismos Abdominais Tipo de estudo: Clinical_trials Limite: Female / Humans / Pregnancy Idioma: En Revista: Am J Surg Ano de publicação: 2023 Tipo de documento: Article