Table 1.
Admissions, Demographics, and Injury Severity
| Variable | Control (01/2011– 10/2013) | QI (11/2013– 11/2015) | p Value |
|---|---|---|---|
| Total trauma admissions, n | 12,922 | 9,695 | |
| Emergent laparotomies, n | 581 | 448 | 0.250 |
| Definitive laparotomies, n (%) | 338 (58) | 326 (73) | |
| Damage control laparotomies, n (%) | 221 (38) | 101 (23) | |
| Operative deaths, n (%) | 22 (4) | 21 (5) | |
| Indication for damage control, n (%) | |||
| Packing | 134 (61) | 60 (59) | 0.343 |
| Second look | 29 (13) | 16 (16) | |
| Hemodynamic instability | 30 (14) | 15 (15) | |
| Expedite CT/ICU | 14 (6) | 3 (3) | |
| ACS prophylaxis | 3 (1) | 5 (5) | |
| Contamination | 7 (3) | 1 (1) | |
| Expedite IR | 1 (0) | 1 (1) | |
| Unclear | 2 (1) | 0 (0) | |
| Sex, n (%) | |||
| Male | 423 (76) | 330 (77) | 0.555 |
| Female | 136 (24) | 97 (23) | |
| Mechanism, n (%) | |||
| Blunt | 349 (62) | 220 (52) | 0.001 |
| Penetrating | 210 (38) | 207 (48) | |
| BMI, kg/m2, median (IQR) | 26 (24, 30) | 27 (24, 31) | 0.175 |
| Head AIS, median (IQR) | 0 (0, 2) | 0 (0, 0) | 0.222 |
| Face AIS, median (IQR) | 0 (0, 0) | 0 (0, 0) | 0.095 |
| Chest AIS, median (IQR) | 2 (0, 3) | 2 (0, 3) | 0.753 |
| Abdomen AIS, median (IQR) | 3 (2, 4) | 3 (2, 4) | 0.142 |
| Extremity AIS, median (IQR) | 1 (0, 3) | 0 (0, 3) | 0.098 |
| External AIS, median (IQR) | 1 (0, 1) | 1 (0, 1) | 0.126 |
| Injury Severity Score, median (IQR) | 19 (11, 34) | 19 (10, 29) | 0.165 |
QI, quality improvement; CT, computed tomography; ICU, intensive care unit; ACS, abdominal compartment syndrome; IR, interventional radiology; AIS, abbreviated injury score