Table 5. Comparison of Patients in Two Periods.
| Variable | 1992-1999 N = 88 (%) |
2000-2008 N = 55 (%) |
P |
|---|---|---|---|
| Age (yrs)* | 30.8 ± 13 | 33.9 ± 17.1 | 0.441 |
| Male sex | 68 (77.3) | 46 (83.6) | 0.242 |
| Hospital stay* | 15.1 ± 13.4 | 20.8 ± 21.3 | 0.071 |
| ISS* | 25.8 ± 12.2 | 25.8 ± 11.8 | 0.896 |
| Etiology | 0.038 | ||
| Traffic accidents | 60 (68.2) | 45 (81.8) | |
| Stab wounds | 14 (15.9) | 1 (1.8) | |
| Falls | 10 (11.4) | 6 (10.9) | |
| Firearms | 3 (3.4) | 0 (0) | |
| Others | 1 (1.1) | 3 (5.5) | |
| Diagnostic technique | < 0.0001 | ||
| No | 8 (9.1) | 0 (0) | |
| Ultrasound | 72 (81.8) | 16 (29.1) | |
| TC | 4 (4.55) | 39 (70.9) | |
| DPL* | 4 (4.55) | 0 (0) | |
| Injury grade | 0.022 | ||
| I | 8 (9.1) | 15 (27.3) | |
| II | 20 (22.7) | 14 (25.5) | |
| III | 40 (45.5) | 16 (29.1) | |
| IV | 11 (12.5) | 8 (14.5) | |
| V | 9 (10.2) | 2 (3.6) | |
| Abdominal injuries | 0.092 | ||
| Yes | 32 (36.4) | 27 (49.1) | |
| No | 56 (63.6) | 28 (50.9) | |
| Extrabdominal injuries | 0.041 | ||
| Yes | 61 (69.3) | 9 (16.4) | |
| No | 27 (30.7) | 46 (83.6) | |
| Hemodynamic inestability | 31 (35.2) | 15 (27.3) | 0.211 |
| Treatment | 0.077 | ||
| Nonoperative management | 49 (55.7) | 38 (69.1) | |
| Surgery | 39 (44.3) | 17 (30.9) | |
| Surgical technique | 0.087 | ||
| Exploratory laparotomy | 9 (10.2) | 5 (9.1) | |
| Packing | 3 (3.4) | 5 (9.1) | |
| Vascular suture | 21 (23.8) | 4 (7.3) | |
| Electrocoagulation | 5 (5.7) | 1 (1.8) | |
| Hepatic resection | 6 (6.8) | 9 (16.4) | |
| Failure of conservative treatment | 8 (16.3) | 5 (13.1) | 0.482 |
| Morbidity | 0.015 | ||
| Yes | 24 (27.3) | 6 (10.9) | |
| No | 64 (72.7) | 49 (89.1) | |
| Mortality | 0.532 | ||
| Yes | 12 (13.6) | 8 (14.5) | |
| No | 76 (86.4) | 47 (85.5) | |
| Hepatic Mortality | 0.534 | ||
| Yes | 9 (10.2) | 5 (9.1) | |
| No | 79 (89.8) | 50 (90.9) | |
| RBC * | 7.6 ± 8.2 | 13.7 ± 12.3 | 0.033 |
| FFP * | 1.3 ± 2.6 | 2.4 ± 2.6 | 0.003 |
| PLT * | 0.3 ± 1.9 | 0.8 ± 0.9 | < 0.0001 |
*
Values expressed as mean ± standard desviation
Abbreviations: ISS: injury severity score; DPL: diagnostic peritoneal lavage; RBC: red blood cell; FFP: fresh frozen plasma; PLT: Platelet