Universität zu Köln

Heuer, Matthias, Hussmann, Bjoern, Lefering, Rolf, Taeger, Georg, Kaiser, Gernot M., Paul, Andreas and Lendemans, Sven (2011). Pancreatic injury in 284 patients with severe abdominal trauma: outcome, course, and treatment algorithm. Langenbecks Arch. Surg., 396 (7). S. 1067 - 1077. NEW YORK: SPRINGER. ISSN 1435-2451

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Abstract

Purpose The relevance of pancreatic trauma in severely injured patients within a large collective has not been thoroughly analyzed yet. This study aimed at assessing the prevalence of pancreatic trauma in relation to the outcome and the currently established algorithm of treatment. Methods Some 51,425 patients from the Trauma Register of the German Society of Trauma Surgery (TR DGU) (1993-2009) were retrospectively analyzed. All patients with an injury severity score >= 16, direct admission to a trauma center and subsequent treatment for at least 3 days, age >= 16, and an abdominal injury [abbreviated injury scale (AIS) abdomen >= 2] were included. Patients with abdominal trauma AIS(abdomen) >= 2) were compared with patients with an additional pancreatic trauma (AIS(pancreas)2-5). Results Of 51,425 patients, 9,268 (18%) had documented abdominal injuries. Two hundred eighty-four (3.1%) patients with abdominal injury additionally showed a pancreatic injury (AIS(abdomen) >= 2, AIS(pancreas) 2-5) and were analyzed in dependency of the classification of the American Association for the Surgery of Trauma (AAST) organ severity score. AAST-pancreas: II degrees, 1.9%; III degrees, 0.6%; IV degrees, 0.3%; and V degrees, 0.2%. Patients with leading pancreatic injury (grades IV and V) thereby showed a significant increase of mortality (IV degrees, 30.0% and V degrees, 33.3%) and an increase of the need for surgical intervention (IV degrees, 80.6% and V degrees : 81.8%). Conclusions The results presented here show the prevalence and the outcome of pancreas injury in a large collective within the TR DGU for the first time. Based on the current literature and the findings, a treatment algorithm has been developed.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Heuer, Matthias UNSPECIFIED UNSPECIFIED UNSPECIFIED Hussmann, Bjoern UNSPECIFIED UNSPECIFIED UNSPECIFIED Lefering, Rolf UNSPECIFIED UNSPECIFIED UNSPECIFIED Taeger, Georg UNSPECIFIED UNSPECIFIED UNSPECIFIED Kaiser, Gernot M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Paul, Andreas UNSPECIFIED UNSPECIFIED UNSPECIFIED Lendemans, Sven UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-487569
DOI:	10.1007/s00423-011-0836-1
Journal or Publication Title:	Langenbecks Arch. Surg.
Volume:	396
Number:	7
Page Range:	S. 1067 - 1077
Date:	2011
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1435-2451
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language MULTIPLE ORGAN FAILURE; EMERGENCY-ROOM; GERMAN-SOCIETY; MANAGEMENT; SEPSIS; DIAGNOSIS; REGISTER; SURGERY; SCORE; TIME Multiple languages Surgery Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/48756