Penetrating Abdominal Trauma Index (PATI)

duodenum

5

single wall

1

<= 25% wall

2

> 25% wall

3

duodenal wall and blood supply

4

pancreaticoduodenectomy

5

pancreas

5

tangential

1

through-and-through (duct intact)

2

major debridement or distal duct injury

3

proximal duct injury

4

pancreaticoduodenectomy

5

liver

4

nonbleeding peripheral

1

bleeding, central or minor debridement

2

major debridement or hepatic artery ligation

3

lobectomy

4

lobectomy with caval repair or extensive bilobar debridement

5

large intestine

4

serosal

1

single wall

2

<= 25% wall

3

> 25% wall

4

colon wall and blood supply

5

major vascular

4

<= 25% wall

1

> 25% wall

2

complete transection

3

interposition grafting or bypass

4

ligation

5

spleen

3

nonbleeding

1

cautery or hemostatic agent

2

minor debridement or suturing

3

partial resection

4

splenectomy

5

kidney

3

nonbleeding

1

minor debridement or suturing

2

major debridement

3

pedicle or major calyceal

4

nephrectomy

5

extrahepatic biliary

2

contusion

1

cholecystectomy

2

<= 25% common duct wall

3

> 25% common duct wall

4

biliary enteric reconstruction

5

small bowel

2

single wall

1

through-and-through

2

<= 25% wall or 2-3 injuries

3

> 25% wall or 4-5 injuries

4

wall and blood supply or > 5 injuries

5

stomach

2

single wall

1

through-and-through

2

minor debridement

3

wedge resection

4

> 35% resection

5

ureter

2

contusion

1

laceration

2

minor debridement

3

segmental resection

4

reconstruction

5

bladder

1

single wall

1

through-and-through

2

debridement

3

wedge resection

4

reconstruction

5

bone

1

periosteum

1

cortex

2

through-and-through

3

intra-articular

4

major bone loss

5

minor vascular

1

nonbleeding small hematoma

1

nonbleeding large hematoma

2

suturing

3

ligation of isolated vessels

4

ligation of named vessels

5