The Effect of a Trauma System on the Outcome of Patients with Pancreatic Trauma

Guy R. Voeller, Eugene C. Mangiante, Timothy Fabian

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Patients suffering pancreatic trauma before and after the creation of a regional trauma center were analyzed. Between 1975 and 1982, before the trauma system was established, 80 patients (10 per year) with pancreatic injury were treated. From 1984 to 1987 (after trauma system implementation), 58 patients (19 per year) with pancreatic injury were treated. There were no significant differences in demographics, mechanisms of injury, types of pancreatic wound, or associated injuries. Sixteen (20%) patients with pancreatic injury during the study period died before the trauma center was established. Of these, 13(81%) died of hemorrhage. In contrast, five (9%) patients with pancreatic injury who were treated after the trauma center was operational died. Only one death was due to hemorrhage. By relative risk, a patient was 2.67 times more likely to die and 17 times more likely to die of hemorrhage before the presence of the trauma center than after (P<.03). In this study of a patient population suffering severe intra-abdominal injuries, Organ Injury Outcome Analysis demonstrates that development of a trauma system significantly improves outcome.

Original languageEnglish (US)
Pages (from-to)578-580
Number of pages3
JournalArchives of Surgery
Volume126
Issue number5
DOIs
StatePublished - Jan 1 1991

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Wounds and Injuries
Trauma Centers
Hemorrhage
Abdominal Injuries
Demography
Population

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

The Effect of a Trauma System on the Outcome of Patients with Pancreatic Trauma. / Voeller, Guy R.; Mangiante, Eugene C.; Fabian, Timothy.

In: Archives of Surgery, Vol. 126, No. 5, 01.01.1991, p. 578-580.

Research output: Contribution to journalArticle

Voeller, Guy R. ; Mangiante, Eugene C. ; Fabian, Timothy. / The Effect of a Trauma System on the Outcome of Patients with Pancreatic Trauma. In: Archives of Surgery. 1991 ; Vol. 126, No. 5. pp. 578-580.
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