Pre-existing cirrhosis is associated with increased mortality of traumatic patients: Analysis of cases from a trauma center in East China
Pre-existing cirrhosis is associated with increased mortality of traumatic patients:Analysis of cases from a trauma center in East China作者机构：Department of Emergency Surgery First Affiliated Hospital College ofMedicine Zhejiang University Hangzhou 310003 ZhejiangProvince China
出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)
年 卷 期：2007年第13卷第42期
页 面：5654-5658页
核心收录：
学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学]
主 题：Pre-existing cirrhosis Trauma Mortality rate
摘 要：AIM:To determine the impact of cirrhosis on trauma patients and define the factors predicting ***:The data on patients admitted to the trauma center from January 2000-2005 were studied *** clinical variables were recorded and compared to identify the factors differentiating cirrhotic trauma survivors from non *** s classification criteria were derived from the reviewed charts of cirrhotic trauma patients to evaluate their predictive value in cirrhotic *** registry was also used to generate a trauma control group by matching for age,sex,abbreviated injury score(AIS)over the same period of *** outcome variables compared were mortality rate,time of ICU and hospital *** were expressed as mean ± *** data were analyzed by SPSS.11.0 statistical *** analysis was performed to identify significant medical factors for survivor and non survivors subjected to chi-square *** s exact test and Student s t test were performed to determine the statistical difference between cirrhotic and control groups.P 0.05 was considered statistically ***:Poor prognosis of traum patients was associated with one or more of the following findings:ascitcs,hyperbilirubinemia(more than 2 mg/dL),hypoalbuminemia(less than 3.5 mg/dL),and prolonged prothrombin time(more than 12.5 seconds).Although Child s classification was used to predict the outcome in cirrhotic patients undergoing portacaval shunt procedures,no significant difference was found in mortality rate as a function of Child s ***:Cirrhosis is associated with a highermortality,a longer time of ICU and hospital stay of trauma *** seems that treatment of trauma patients with pre-existing severe liver disease is a challenge to surgeons.
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