This study published in the British Journal of Surgery attempted to investigate the trends and failures in selective non-operative management (SNOM) for penetrating abdominal injury (PAI) using the National Trauma Data Bank between 2002–2008. Multi-regression analysis was performed on a total of 12 707 patients with abdominal gunshot and 13 030 with stab wounds. Rates of SNOM were 22·2% for gunshot and 33·9% for stab wounds. SNOM failed in 20·8% and 15·2% with gunshot and stab wounds respectively. Factors predicting failure included the need for blood transfusion and a higher injury score. Failed SNOM was independently associated with mortality in both groups.
British Journal of Surgery 2011; 99(Suppl 1): 155–165
Headline: Non-op management for penetrating abdo injury is common but may fail in patients requiring blood transfusion
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