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
