Table 2.
Trauma characteristics and outcomes according to duodenal trauma severity
| Variable | AAST Duodenal injury grade | |||
|---|---|---|---|---|
| 1 and 2 | 3 | 4 and 5 | p-value | |
| Number of patients (%) | 68 (23.6) | 180 (62.5) | 40 (13.9) | – |
| Age (years), median (IQR) | 29.5 (22–43) | 29 (22–40) | 28.5 (21–40.5) | 0.935** |
| SBP in the ER (mm Hg), median (IQR) | 112 (99–125) | 110 (90–130) | 120 (100–138) | 0.140** |
| Hypotension at arrival to the ER, n (%) | 11 (16.2) | 31 (17.2) | 5 (12.5) | 0.845* |
| Transfusion before first surgery, n (%) | 23 (33.8) | 91 (50.6) | 12 (30.0) | 0.10* |
| PRBC transfused (units), median (IQR) | 1 (0–4) | 2 (0–6) | 0 (0–3.5) | 0.231** |
| Massive transfusion, n (%) | 15 (22.1) | 41 (22.8) | 8 (20.0) | 0.978* |
| ISS, median (IQR) | 18 (15–25) | 21 (16–26) | 16 (10.5–25) | 0.005** |
| Abdominal AIS, median (IQR) | 3 (2–4) | 3 (3–4) | 3.5 (3–5) | 0.031** |
| ICU admission, n (%) | 38 (55.9) | 134 (74.4) | 29 (72.5) | 0.019* |
| Hospital LOS, n (%) | 13 (8–25) | 14.5 (9–31) | 18 (10.5–44.5) | 0.089** |
| Leak of the duodenal repair, n (%) | 5 (7.4) | 41 (22.8) | 4 (10.0) | 0.006* |
| Need for unplanned surgery, n (%) | 17 (25.0) | 69 (38.3) | 17 (42.5) | 0.094* |
| Sepsis, n (%) | 10 (14.7) | 47 (26.1) | 8 (20) | 0.165* |
| Mortality, n (%) | 0 (0) | 31 (17.2) | 5 (12.5) | < 0.001* |
AAST American Association for the Surgery of Trauma, SBP Systolic blood pressure, ER Emergency room, PRBC Packed red blood cells, IQR Interquartile range, ISS Injury Severity Score, AIS Abbreviated Injury Scale
*Fisher’s exact test
**Kruskal–Wallis test