Hwang and Choi identified prognostic factors for a patient with pancreatic injury. They identified avoidance of shock and control of hemorrhage as important early interventions. The authors are from Masan Samsung Hospital and Sungkyunkwan University.

Patient selection: pancreatic injury


Prognostic factors associated with mortality in multivariate analysis:

(1) blood transfusion > 12 units (odds ratio 63.8)

(2) base deficit <= -11 mmol/L (odds ratio 29.7)


Prognostic factors associated with morbidity in multivariate analysis:

(1) base deficit <= -5.8 mmol/L (odds ratio 6.7)

(2) stomach injury present (odds ratio 6.0)

(3) complex operation (distal pancreatectomy with or without splenectomy, pancreaticoduodenectomy, pyloric exclusion, resection with internal drainage; odds ratio 8.2)


Additional factors associated with morbidity in the univariate analysis:

(1) ISS > 26

(2) number of AIS 4 and 5 injuries > 3

(3) grade of pancreatic injury >= 3

(4) number of associated injuries > 3

(5) colon injury

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