دورية أكاديمية
Development and Validation of a Novel Hollow Viscus Injury Prediction Score for Abdominal Seatbelt Sign: A Pacific Coast Surgical Association Multicenter Study.
| العنوان: | Development and Validation of a Novel Hollow Viscus Injury Prediction Score for Abdominal Seatbelt Sign: A Pacific Coast Surgical Association Multicenter Study. |
|---|---|
| المؤلفون: | Santos J; From the Division of Trauma, Burns, Critical Care & Acute Care Surgery, Department of Surgery, University of California, Irvine, Orange, CA (Santos, Delaplain, Tay-Lasso, Grigorian, Nahmias)., Delaplain PT; From the Division of Trauma, Burns, Critical Care & Acute Care Surgery, Department of Surgery, University of California, Irvine, Orange, CA (Santos, Delaplain, Tay-Lasso, Grigorian, Nahmias).; Department of Surgery, Boston Children's Hospital/Harvard Medical System, Boston, MA (Delaplain)., Tay-Lasso E; From the Division of Trauma, Burns, Critical Care & Acute Care Surgery, Department of Surgery, University of California, Irvine, Orange, CA (Santos, Delaplain, Tay-Lasso, Grigorian, Nahmias)., Biffl WL; Trauma Department, Scripps Memorial Hospital La Jolla, La Jolla, CA (Biffl, Schaffer)., Schaffer KB; Trauma Department, Scripps Memorial Hospital La Jolla, La Jolla, CA (Biffl, Schaffer)., Sundel M; Program in Trauma, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, Baltimore, MD (Sundel, Ghneim)., Ghneim M; Program in Trauma, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, Baltimore, MD (Sundel, Ghneim)., Costantini TW; Division of Trauma, Surgical Critical Care, Burns and Acute Care Surgery, University of California San Diego School of Medicine, San Diego, CA (Costantini, Santorelli)., Santorelli JE; Division of Trauma, Surgical Critical Care, Burns and Acute Care Surgery, University of California San Diego School of Medicine, San Diego, CA (Costantini, Santorelli)., Switzer E; Division of Acute Care Surgery, LAC+USC Medical Center, University of Southern California, Los Angeles, CA (Switzer, Schellenberg)., Schellenberg M; Division of Acute Care Surgery, LAC+USC Medical Center, University of Southern California, Los Angeles, CA (Switzer, Schellenberg)., Keeley JA; Division of Trauma/Acute Care Surgery/Surgical Critical Care, Harbor-UCLA Medical Center, Torrance, CA (Keeley, Kim)., Kim DY; Division of Trauma/Acute Care Surgery/Surgical Critical Care, Harbor-UCLA Medical Center, Torrance, CA (Keeley, Kim)., Wang A; Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, CA (Want, Dhillon, Patel)., Dhillon NK; Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, CA (Want, Dhillon, Patel)., Patel D; Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, CA (Want, Dhillon, Patel)., Campion EM; Department of Surgery, Denver Health Medical Center, Denver, CO (Campion, Robinson)., Robinson CK; Department of Surgery, Denver Health Medical Center, Denver, CO (Campion, Robinson)., Kartiko S; Department of Surgery, The George Washington University School of Medicine & Health Sciences, Washington, DC (Kartiko, Quintana, Estroff)., Quintana MT; Department of Surgery, The George Washington University School of Medicine & Health Sciences, Washington, DC (Kartiko, Quintana, Estroff)., Estroff JM; Department of Surgery, The George Washington University School of Medicine & Health Sciences, Washington, DC (Kartiko, Quintana, Estroff)., Kirby KA; Center for Statistical Consulting, Department of Statistics, University of California Irvine, Irvine, CA (Kirby)., Grigorian A; From the Division of Trauma, Burns, Critical Care & Acute Care Surgery, Department of Surgery, University of California, Irvine, Orange, CA (Santos, Delaplain, Tay-Lasso, Grigorian, Nahmias)., Nahmias J; From the Division of Trauma, Burns, Critical Care & Acute Care Surgery, Department of Surgery, University of California, Irvine, Orange, CA (Santos, Delaplain, Tay-Lasso, Grigorian, Nahmias). |
| المصدر: | Journal of the American College of Surgeons [J Am Coll Surg] 2023 Dec 01; Vol. 237 (6), pp. 826-833. Date of Electronic Publication: 2023 Sep 13. |
| نوع المنشور: | Observational Study; Multicenter Study; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Lippincott Williams & Wilkins, Inc Country of Publication: United States NLM ID: 9431305 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1879-1190 (Electronic) Linking ISSN: 10727515 NLM ISO Abbreviation: J Am Coll Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2022- : [Baltimore, MD] : Lippincott Williams & Wilkins, Inc. Original Publication: Chicago, Ill. : The College, c1994- |
| مواضيع طبية MeSH: | Abdominal Injuries*/diagnostic imaging , Abdominal Injuries*/etiology , Wounds, Nonpenetrating*/diagnosis, Adult ; Humans ; Tomography, X-Ray Computed/methods ; Abdomen ; Prospective Studies ; Retrospective Studies |
| مستخلص: | Background: High-quality CT can exclude hollow viscus injury (HVI) in patients with abdominal seatbelt sign (SBS) but performs poorly at identifying HVI. Delay in diagnosis of HVI has significant consequences necessitating timely identification. Study Design: This multicenter, prospective observational study conducted at 9 trauma centers between August 2020 and October 2021 included adult trauma patients with abdominal SBS who underwent abdominal CT before surgery. HVI was determined intraoperatively and physiologic, examination, laboratory, and imaging findings were collected. Least absolute shrinkage and selection operator- and probit regression-selected predictor variables and coefficients were used to assign integer points for the HVI score. Validation was performed by comparing the area under receiver operating curves (AUROC). Results: Analysis included 473 in the development set and 203 in the validation set. The HVI score includes initial systolic blood pressure <110 mmHg, abdominal tenderness, guarding, and select abdominal CT findings. The derivation set has an AUROC of 0.96, and the validation set has an AUROC of 0.91. The HVI score ranges from 0 to 17 with score 0 to 5 having an HVI risk of 0.03% to 5.36%, 6 to 9 having a risk of 10.65% to 44.1%, and 10 to 17 having a risk of 58.59% to 99.72%. Conclusions: This multicenter study developed and validated a novel HVI score incorporating readily available physiologic, examination, and CT findings to risk stratify patients with an abdominal SBS. The HVI score can be used to guide decisions regarding management of a patient with an abdominal SBS and suspected HVI. (Copyright © 2023 by the American College of Surgeons. Published by Wolters Kluwer Health, Inc. All rights reserved.) |
| التعليقات: | Comment in: J Am Coll Surg. 2023 Dec 1;237(6):833-834. (PMID: 37732624) |
| References: | Alsayali MM, Atkin C, Winnett J, et al. Management of blunt bowel and mesenteric injuries: experience at the Alfred hospital. Eur J Trauma Emerg Surg. 2009;35:482. Fakhry SM, Watts DD, Luchette FA. Current diagnostic approaches lack sensitivity in the diagnosis of perforated blunt small bowel injury: analysis from 275,557 trauma admissions from the EAST multi-institutional HVI trial. J Trauma. 2003;54:295–306. Ekeh AP, Saxe J, Walusimbi M, et al. Diagnosis of blunt intestinal and mesenteric injury in the era of multidetector CT technology—are results better? J Trauma. 2008;65:354–359. Watts DD, Fakhry SM. Incidence of hollow viscus injury in blunt trauma: an analysis from 275,557 trauma admissions from the East multi-institutional trial. J Trauma. 2003;54:289–294. Malinoski DJ, Patel MS, Yakar DO, et al. A diagnostic delay of 5 hours increases the risk of death after blunt hollow viscus injury. J Trauma. 2010;69:84–87. Bloom AI, Rivkind A, Zamir G, et al. Blunt injury of the small intestine and mesentery—the trauma surgeon’s Achilles heel? Eur J Emerg Med. 1996;3:85–91. Chandler CF, Lane JS, Waxman KS. Seatbelt sign following blunt trauma is associated with increased incidence of abdominal injury. Am Surg. 1997;63:885–888. Wotherspoon S, Chu K, Brown AF. Abdominal injury and the seat-belt sign. Emerg Med Fremantle. 2001;13:61–65. Asbun HJ, Irani H, Roe EJ, Bloch JH. Intra-abdominal seatbelt injury. J Trauma. 1990;30:189–193. Pikoulis E, Delis S, Psalidas N, et al. Presentation of blunt small intestinal and mesenteric injuries. Ann R Coll Surg Engl. 2000;82:103–106. Petrosoniak A, Engels PT, Hamilton P, Tien HC. Detection of significant bowel and mesenteric injuries in blunt abdominal trauma with 64-slice computed tomography. J Trauma Acute Care Surg. 2013;74:1081–1086. Barmparas G, Patel DC, Linaval NT, et al. A negative computed tomography may be sufficient to safely discharge patients with abdominal seatbelt sign from the emergency department: a case series analysis. J Trauma Acute Care Surg. 2018;84:900–907. Delaplain PT, Barrios C, Spencer D, et al. The use of computed tomography imaging for abdominal seatbelt sign: a single-center, prospective evaluation. Injury. 2020;51:26–31. Shreffler J, Smiley A, Schultz M, et al. Patients with abrasion or ecchymosis seat belt sign have high risk for abdominal injury, but initial computed tomography is 100% sensitive. J Emerg Med. 2020;59:491–498. Delaplain PT, Tay-Lasso E, Biffl WL, et al. Excluding hollow viscus injury for abdominal seat belt sign using computed tomography. JAMA Surg. 2022;157:771–778. Bhagvan S, Turai M, Holden A, et al. Predicting hollow viscus injury in blunt abdominal trauma with computed tomography. World J Surg. 2013;37:123–126. Rodriguez C, Barone JE, Wilbanks TO, et al. Isolated free fluid on computed tomographic scan in blunt abdominal trauma: a systematic review of incidence and management. J Trauma. 2002;53:79–85. McNutt MK, Chinapuvvula NR, Beckmann NM, et al. Early surgical intervention for blunt bowel injury: the Bowel Injury Prediction Score (BIPS). J Trauma Acute Care Surg. 2015;78:105–111. Tibshirani R. Regression shrinkage and selection via the Lasso. J R Stat Soc Ser B Methodol. 1996;58:267–288. Harrell FE, Lee KL, Mark DB. Multivariable prognostic models: issues in developing models, evaluating assumptions and adequacy, and measuring and reducing errors. Stat Med. 1996;15:361–387. von Elm E, Altman DG, Egger M, et al. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement: guidelines for reporting observational studies. Int J Surg Lond Engl. 2014;12:1495–1499. Schurink GWH, Bode PJ, van Luijt PA, van Vugt AB. The value of physical examination in the diagnosis of patients with blunt abdominal trauma: a retrospective study. Injury. 1997;28:261–265. Livingston DH, Lavery RF, Passannante MR, et al. Admission or observation is not necessary after a negative abdominal computed tomographic scan in patients with suspected blunt abdominal trauma: results of a prospective, multi-institutional trial. J Trauma. 1998;44:273–280; discussion 280. Williams MD, Watts D, Fakhry S. Colon injury after blunt abdominal trauma: results of the EAST Multi-institutional Hollow Viscus Injury Study. J Trauma Acute Care Surg. 2003;55:906–912. Frick EJ, Pasquale MD, Cipolle MD. Small-bowel and mesentery injuries in blunt trauma. J Trauma Acute Care Surg. 1999;46:920–926. Roh JJ, Thompson JS, Harned RK, Hodgson PE. Value of pneumoperitoneum in the diagnosis of visceral perforation. Am J Surg. 1983;146:830–833. Bonomi AM, Granieri S, Gupta S, et al. Traumatic hollow viscus and mesenteric injury: role of CT and potential diagnostic–therapeutic algorithm. Updates Surg. 2021;73:703–710. Menegaux F, Trésallet C, Gosgnach M, et al. Diagnosis of bowel and mesenteric injuries in blunt abdominal trauma: a prospective study. Am J Emerg Med. 2006;24:19–24. Jost E, Roberts DJ, Penney T, et al. Accuracy of clinical, laboratory, and computed tomography findings for identifying hollow viscus injury in blunt trauma patients with unexplained intraperitoneal free fluid without solid organ injury. Am J Surg. 2017;213:874–880. Wandling M, Cuschieri J, Kozar R, et al. Multi-center validation of the Bowel Injury Predictive Score (BIPS) for the early identification of need to operate in blunt bowel and mesenteric injuries. Injury. 2022;53:122–128. Di Saverio S, Birindelli A, Podda M, et al. Trauma laparoscopy and the six w’s: Why, where, who, when, what, and how? J Trauma Acute Care Surg. 2019;86:344–367. Grigorian A, Pigazzi A, Nguyen NT, et al. Use of laparoscopic colectomy increasing in trauma: comparison of laparoscopic vs. open colectomy. Updates Surg. 2019;71:105–111. Haratian A, Grigorian A, Rajalingam K, et al. Laparoscopy in the evaluation of blunt abdominal injury in level-I and II pediatric trauma centers. Am Surg. 2022;89:607–613. Chaudhry HH, Grigorian A, Lekawa ME, et al. Decreased length of stay after laparoscopic diaphragm repair for isolated diaphragm injury after penetrating trauma. Am Surg. 2020;86:493–498. Nance ML, Peden GW, Shapiro MB, et al. Solid viscus injury predicts major hollow viscus injury in blunt abdominal trauma. J Trauma. 1997;43:618–622; discussion 622. |
| تواريخ الأحداث: | Date Created: 20230913 Date Completed: 20231116 Latest Revision: 20240228 |
| رمز التحديث: | 20240228 |
| DOI: | 10.1097/XCS.0000000000000863 |
| PMID: | 37703489 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1879-1190 |
|---|---|
| DOI: | 10.1097/XCS.0000000000000863 |