Risk Factors of Demetriades et al for Abdominal Complications in Patients with Penetrating Colon Injuries

Description

Demetriades et al evaluating risk factors for abdominal complications in patients with penetrating colon injuries. This can help identify those patients who may require more aggressive management and monitoring. The authors are from multiple trauma centers from across the United States, Columbia and South Africa.

Parameters:

(1) blood transfusion within the first 24 hours of admission

(2) antibiotic prophylaxis

(3) fecal contamination

Parameter	Findings	Points
blood transfusion in first 24 hours	<= 4 units	0
	> 4 units	1
number of antibiotics used for antibiotic prophylaxis	single	1
	combination	0
fecal contamination	none to moderate	0
	severe	1

where:

• I would imagine failure to use any antibiotic for prophylaxis would be an even greater risk factor than a single antibiotic.

total number of risk factors =

= SUM(points for all 3 parameters)

Interpretation:

• minimum number of risk factors: 0

• maximum number of risk factors: 3

Number of Risk Factors	Probability of Abdominal Complication
0	13.1%
1	19.7%
2	34.4%
3	68.4%

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Description

Specialty

ICD-10