Unveiling the impact of trauma during pregnancy

IF 2.7 3区 医学 Q1 SURGERY
Anna Mary Jose, Aryan Rafieezadeh, Jordan Kirsch, Mikaiel Ebanks, Ilya Shnaydman, Gabriel Froula, Kartik Prabhakaran, Bardiya Zangbar
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引用次数: 0

Abstract

Background

Pregnant trauma patients present unique challenges in terms of assessment and management. This study assesses the impact of traumatic injuries on pregnant patients using a national trauma database.

Methods

ACS-TQIP (2020–2021) identified traumatically injured females aged ≥15 and ​≤ ​55. Propensity score matching compared pregnant and not-pregnant patients. Primary outcome was mortality, with secondary outcomes including length of stay (LOS), emergency department and discharge disposition, interventions, and complications.

Results

Of 947,000 traumatically injured females, 8421 (0.9 ​%) were pregnant. Pregnant patients (6.0 ​%) sustained firearm injuries more than not-pregnant patients (5.4 ​%) (p ​= ​0.02). Pregnant patients had more severe thoracic (47.2%vs.9.4 ​%) and abdominal injuries (7.1%vs.4.8 ​%) compared to not-pregnant patients (p ​< ​0.001). Among pregnant patients, 5.6 ​% had preterm labor, 2.6 ​% had cesarean sections, and 1.9 ​% had abortions. After matching, there was no significant difference in mortality between both groups (p ​= ​0.40). Pregnant patients had longer ICU LOS (p ​< ​0.05) and higher rates of unplanned return to ICU (p ​< ​0.05).

Conclusions

Pregnant patients are more often victims of firearm violence, sustaining critical thoracic and abdominal injuries. These injuries demand increased interventions, introduce complications, and can be fatal.
揭示怀孕期间创伤的影响。
背景:怀孕创伤患者在评估和管理方面面临着独特的挑战。本研究利用国家创伤数据库评估创伤性损伤对怀孕患者的影响。方法:ACS-TQIP(2020-2021)对年龄≥15岁、≤55岁的女性外伤患者进行鉴定。倾向评分匹配比较怀孕和未怀孕的患者。主要结局是死亡率,次要结局包括住院时间(LOS)、急诊科和出院处理、干预措施和并发症。结果:947,000名女性外伤患者中,有8421人(0.9%)怀孕。孕妇火器伤发生率(6.0%)高于非孕妇火器伤发生率(5.4%)(p = 0.02)。与未怀孕患者相比,怀孕患者有更严重的胸部(47.2%vs. 9.4%)和腹部损伤(7.1%vs. 4.8%) (p结论:怀孕患者更容易成为枪支暴力的受害者,持续严重的胸部和腹部损伤。这些伤害需要更多的干预措施,引起并发症,并可能致命。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
5.00
自引率
6.70%
发文量
570
审稿时长
56 days
期刊介绍: The American Journal of Surgery® is a peer-reviewed journal designed for the general surgeon who performs abdominal, cancer, vascular, head and neck, breast, colorectal, and other forms of surgery. AJS is the official journal of 7 major surgical societies* and publishes their official papers as well as independently submitted clinical studies, editorials, reviews, brief reports, correspondence and book reviews.
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