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An Analysis of Outcomes After Trauma in Obstetric Patients.
- Source :
-
American Surgeon . Sep2023, Vol. 89 Issue 9, p3939-3941. 3p. - Publication Year :
- 2023
-
Abstract
- Traumatic injury in obstetric patients has been shown to correlate with adverse fetal outcomes; however, data predates modern resuscitation and imaging techniques. A single center retrospective review was performed analyzing risk factors for obstetric outcomes for pregnant patients seen at a Level 1 Trauma Center from 2010 to 2020. 571 pregnant patients were compared to nonpregnant child-bearing age women. Injury Severity Scores (ISS) were higher in nonpregnant patients (5 vs 0, P <.001), with similar mortality (P =.07). 558 (98%) injured pregnant patients had an ISS < 9. 122 (21%) pregnant patients suffered obstetric or fetal complications, had higher ISS (P <.001), higher abbreviated injury scales (AIS) for thorax, abdomen, spine, lower extremities (P <.05), and lower gestational age (P =.005). Age, Glasgow Coma Score (GCS), AIS Abdomen and Lower Extremity, and preterm pregnancy were predictive of adverse outcomes. Non-caucasian race, higher gestational age, and term pregnancy were predictive of labor during admission. [ABSTRACT FROM AUTHOR]
- Subjects :
- *PREGNANCY complications
*GESTATIONAL age
*GLASGOW Coma Scale
*TRAUMA centers
Subjects
Details
- Language :
- English
- ISSN :
- 00031348
- Volume :
- 89
- Issue :
- 9
- Database :
- Academic Search Index
- Journal :
- American Surgeon
- Publication Type :
- Academic Journal
- Accession number :
- 173684807
- Full Text :
- https://doi.org/10.1177/00031348231174015