Table 1:
Patient characteristics | All patients (n=176) |
CT missed Bowel injury (n=36) |
No missed Bowel injury (n=140) |
p |
---|---|---|---|---|
Age (years) | 40 [27–58] | 36 [26–51] | 41 [27–58] | 0.356 |
Female | 56 (32%) | 14 (39%) | 42 (30%) | 0.321 |
Prior abdominal inflammation | 41 (23%) | 15 (42%) | 26 (19%) | 0.007 |
Prior abdominal surgery | 29 (16%) | 8 (22%) | 21 (15%) | 0.317 |
Open abdominal surgery | 21 (12%) | 7 (19%) | 14 (10%) | 0.148 |
Injury severity score | 26 [16–35] | 21 [13–34] | 27 [17–36] | 0.112 |
Abdominal injury score | 3 [2–4] | 3 [2–3] | 3 [2–4] | 0.073 |
Glasgow coma scale score | 15 [13–15] | 15 [13–15] | 15 [11–15] | 0.164 |
Intubated in field | 36 (20%) | 5 (14%) | 31 (22%) | 0.357 |
Intubated in trauma bay | 23 (13%) | 4 (11%) | 19 (14%) | >0.999 |
Cardiac arrest in field | 1 (1%) | 0 (0%) | 1 (1%) | >0.999 |
Cardiac arrest in trauma bay | 1 (1%) | 0 (0%) | 1 (1%) | >0.999 |
Admission heart rate | 98 [80–115] | 97 [84–116] | 98 [80–115] | 0.915 |
Admission SBP (mmHg) | 121 [103–140] | 132 [112–142] | 120 [102–139] | 0.071 |
Admission lactate (mmol/L) | 2.5 [1.9–3.8] | 2.2 [1.8–4.0] | 2.8 [2.0–3.7] | 0.292 |
Admission Hb (g/dL) | 12.3 [10.6–13.8] | 12.5 [11.2–13.7] | 12.3 [10.5–13.8] | 0.338 |
Seatbelt sign | 23 (13%) | 6 (17%) | 17 (12%) | 0.579 |
FAST performed | 111 (63%) | 20 (56%) | 91 (65%) | 0.335 |
Negative | 69 (39%) | 15 (42%) | 54 (39%) | 0.850 |
Equivocal | 6 (3%) | 0 (0%) | 6 (4%) | 0.346 |
Positive | 36 (20%) | 5 (14%) | 31 (22%) | 0.356 |
DPA/DPL performed | 8 (5%) | 2 (6%) | 6 (4%) | 0.667 |
Negative | 2 (1%) | 1 (3%) | 1 (1%) | 0.368 |
Positive | 6 (3%) | 1 (3%) | 5 (4%) | >0.999 |
FAST or DPA/DPL positive | 38 (22%) | 6 (17%) | 32 (23%) | 0.502 |
Abdominal X-ray performed | 142 (81%) | 29 (81%) | 113 (81%) | >0.999 |
Normal | 104 (59%) | 24 (67%) | 80 (57%) | 0.345 |
Pelvic fracture | 33 (19%) | 5 (14%) | 28 (20%) | 0.480 |
Open book deformity | 10 (6%) | 2 (6%) | 8 (6%) | >0.999 |
SBP: systolic blood pressure, Hb: hemoglobin, FAST: focused assessment with sonography for trauma, DPA: diagnostic peritoneal aspirate, DPL: diagnostic peritoneal lavage. Data are presented as median [interquartile range] or n (%).