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World Journal of Surgery
Published in: World Journal of Surgery 8/2018

01-08-2018 | Original Scientific Report

The Effect of Human-Immunodeficiency Virus Status on Outcomes in Penetrating Abdominal Trauma: An Interim Analysis

Authors: Deidre McPherson, Valentin Neuhaus, Rohin Dhar, Sorin Edu, Andrew J. Nicol, Pradeep H. Navsaria

Published in: World Journal of Surgery | Issue 8/2018

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Abstract

Background

The purpose of this study was to determine whether the outcomes of hemodynamically stable patients undergoing exploratory laparotomy for penetrating abdominal trauma differed as a result of their HIV status.

Methods

This was an observational, prospective study from February 2016 to May 2017. All hemodynamically stable patients with penetrating abdominal trauma requiring a laparotomy were included. The mechanism of injury, the HIV status, age, the penetrating abdominal trauma index (PATI), and the revised trauma score (RTS) were entered into a binary logistic regression model. Outcome parameters were in-hospital death, morbidity, admission to intensive care unit (ICU), relaparotomy within 30 days, and length of stay longer than 30 days.

Results

A total of 209 patients, 94% male, with a mean age of 29 ± 10 years were analysed. Twenty-eight patients (13%) were HIV positive. The two groups were comparable. Ten (4.8%) laparotomies were negative. There were two (0.96%) deaths, both in the HIV negative group. The complication rate was 34% (n = 72). Twenty-nine patients (14%) were admitted to the ICU. A higher PATI, older age, and a lower RTS were significant risk factors for ICU admission. After 30 days, 12 patients (5.7%) were still in hospital. Twenty-four patients (11%) underwent a second laparotomy. The PATI score was the single independent predictor for complications, relaparotomy, and hospital stay longer than 30 days.

Conclusions

Preliminary results reveal that HIV status does not influence outcomes in patients with penetrating abdominal trauma.
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Metadata
Title
The Effect of Human-Immunodeficiency Virus Status on Outcomes in Penetrating Abdominal Trauma: An Interim Analysis
Authors
Deidre McPherson
Valentin Neuhaus
Rohin Dhar
Sorin Edu
Andrew J. Nicol
Pradeep H. Navsaria
Publication date
01-08-2018
Publisher
Springer International Publishing
Published in
World Journal of Surgery / Issue 8/2018
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI
https://doi.org/10.1007/s00268-018-4502-4

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