Flint et al graded the severity of traumatic colon injuries. These correlate with the risk of morbidity and mortality. The authors are from the University of Louisville.
Parameters:
(1) type of colonic injury
(2) level of contamination
(3) presence of shock
(4) presence of delay
|
Parameter |
Grade 1 |
Grade 2 |
Grade 3 |
|
type of injury |
isolated |
laceration; through-and-through perforation |
severe tissue loss; devascularization |
|
contamination |
(none to) minimal |
(mild to ) moderate |
heavy |
|
shock |
none |
|
|
|
delay |
(none to) minimal |
|
|
|
other |
all of the above |
not Grade 1 or 3 |
any of the above |
from Table 2, page 620
|
Grade |
Complications |
Mortality Rate |
|
Grade 1 |
0% |
4% |
|
Grade 2 |
20% |
20% |
|
Grade 3 |
31% |
25% |
from Table 3. page 621
Limitations:
• The percentages of complications and mortality are from 1976 to 1979. Changes in therapy may have reduced risk.
Specialty: Surgery, orthopedic, Emergency Medicine, Critical Care, Surgery, general, Gastroenterology
ICD-10: ,
