Anterior abdominal stab injury: a comparison of self-inflicted and intentional third-party stabbings.
Am J Surg
; 205(3): 274-8; discussion 279, 2013 Mar.
Article
en En
| MEDLINE
| ID: mdl-23414952
ABSTRACT
BACKGROUND:
There is minimal literature comparing self-inflicted (SI) with non-self-inflicted (NSI) anterior abdominal stab wounds (AASW).METHODS:
Adult patients treated at a level 1 trauma center from 2006 through 2011 with an AASW were reviewed.RESULTS:
There were 215 patients with an AASW; 20% were SI. NSI patients had more nonabdominal injuries (47% vs 16%, P < .01) and disposition directly to the operating room (45% vs 26%, P = .02). Intra-abdominal injury rates were similar. One hundred twenty-eight patients had isolated AASWs; 28% were SI. SI patients had higher admission rates (86% vs 63%, P = .01). One hundred three patients had isolated stable/asymptomatic AASWs; 31% were SI. SI patients had more admissions (84% vs 52%, P < .01), had higher intensive care unit admission rates (23% vs 5%, P = .01), longer LOS (3.2 vs 1.4, P < .01), and higher hospital charges ($18,000 vs $11,000, P < .01). The rates of intra-abdominal injury were again similar.CONCLUSIONS:
Controlling for extra-abdominal injuries, SI AASW patients have similar rates of intra-abdominal injury but use more resources.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Violencia
/
Heridas Punzantes
/
Conducta Autodestructiva
/
Traumatismos Abdominales
Tipo de estudio:
Observational_studies
/
Risk_factors_studies
Límite:
Adult
/
Female
/
Humans
/
Male
País/Región como asunto:
America do norte
Idioma:
En
Revista:
Am J Surg
Año:
2013
Tipo del documento:
Article
País de afiliación:
Estados Unidos