SynthesisEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2018
Clinical outcomes and effect of delayed intervention in patients with hollow viscus injury due to blunt abdominal trauma: a systematic review.
Synthesis in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Mortality and its predictors in abdominal injury across sub-Saharan Africa: systematic review and meta-analysis.BMC emergency medicine · 2024Pooled it
- Article
- Comparison of Clinical Characteristics, Therapy, and Short-Term Prognosis between Blunt and Penetrating Abdominal Trauma: A Multicentric Retrospective Cohort Study.Emergency medicine international · 2024Article
- Delayed hollow viscus injury with an occult seatbelt abrasion presenting as a small bowel obstruction.Trauma case reports · 2023Article
- Influence of operative timing on perioperative outcomes of patients with the seatbelt sign.Surgery open science · 2023Article
- Role of glucose/potassium ratio and shock index in predicting mortality in patients with isolated thoracoabdominal blunt trauma.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2022Observational
- WSES guidelines on blunt and penetrating bowel injury: diagnosis, investigations, and treatment.World journal of emergency surgery : WJES · 2022Review
- Diagnostic Accuracy of Computed Tomography for the Prediction of the Need for Laparotomy for Traumatic Hollow Viscus Injury: Systematic Review and Meta-Analysis.Journal of personalized medicine · 2021Article
- The Current Diagnostic Accuracy on Free Peritoneal Fluid in Computed Tomography to Determinate the Necessity of Surgery in Blunt Bowel and Mesenteric Trauma-Systemic Review and Meta-Analysis.Diagnostics (Basel, Switzerland) · 2021Review
- Transcatheter arterial embolization in abdominal blunt trauma with active mesenteric bleeding: case series and review of literature.Emergency radiology · 2021Review
- Postoperative complications of intestinal anastomosis after blunt abdominal trauma.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2020Article
- Blunt Isolated Small Bowel Perforation Intervention: Does a Delay in Management Matter?Emergency medicine international · 2020Article
- Clinical outcomes of patients with hollow viscous injuries after a blunt abdominal trauma: the influence of diagnostic and therapeutic delay and the predictive role of BIPS.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2019Article
- The Prognosis of Blunt Bowel and Mesenteric Injury-the Pitfall in the Contemporary Image Survey.Journal of clinical medicine · 2019Article
- Current strategy for hollow viscus injury with active bleeding: A case report.SAGE open medical case reports · 2019Article
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionHollow viscus injury (HVI) due to blunt abdominal trauma remains a diagnostic challenge, often presenting late and results in delayed intervention. Despite several treatment algorithms, there is currently no consensus on how to manage patients with HVI. The aim of this review was to define clinical outcomes and the effect of delayed intervention in patients with HVI due to blunt abdominal trauma. The primary outcome of interest was difference in mortality between groups.
methodsBased on the preferred reporting items for systematic reviews and meta-analyses statement, a literature search was performed. Studies comparing clinical outcomes in adult patients with hollow viscus injury due to blunt abdominal trauma undergoing early or delayed laparotomy were included. Two independent reviewers screened the abstracts.
resultsIn all, 2288 articles were retrieved. After screening, 11 studies were included. Outcomes in 3812 patients were reported. Overall mortality was 17%. Ten studies reported no difference in mortality between groups. A statistical increase in morbidity was described in five studies, and a trend to increased morbidity was seen in a further two studies. Two studies reported increased mortality in delayed intervention in isolated bowel injury.
conclusionsThis systematic review summarises the results of studies considering outcomes in patients with HVI due to blunt abdominal trauma who have early vs delayed intervention. Overall mortality was significant at 17%. If all patients with hollow viscus injury are considered, the majority of studies do not show an increase in mortality. As patients with isolated bowel injuries have higher mortality in the studies reviewed, to improve outcomes in this subset further investigation is warranted.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.