Incidence of hollow viscus injury in blunt trauma: An analysis from 275,557 trauma admissions from the EAST multi-institutional trial

EAST Multi-Institutional HVI Research Group

Research output: Contribution to journalArticlepeer-review

177 Scopus citations

Abstract

Background Blunt hollow viscus injury (HVI) is uncommon. No sufficiently large series has studied the prevalence of these injuries in blunt trauma patients. This study defines the prevalence of blunt HVI, in addition to the associated morbidity and mortality rates for this diagnosis on the basis of a series of over 275,000 trauma admissions.Methods Patients with blunt small bowel injury (SBI) were identified from the registries of 95 trauma centers for a 2-year period (1998-1999). Each HVI patient (case) was matched by age and Injury Severity Score with a blunt trauma patient receiving an abdominal workup who did not have HVI (control). Patient level data were abstracted by individual chart review. Institution level data were collected on total numbers for trauma admission demographics and on total diagnostic examinations performed.Results From 275,557 trauma admissions, 227,972 blunt injury patients were identified. HVI was rare, with 2,632 patients identified from this group. Perforating small bowel injury accounted for less than 0.3% of blunt admissions. Mortality and morbidity were high for HVI. Controlling for injury severity, patients with HVI were usually at higher risk of death than non-HVI patients.Conclusion HVI is a rare but deadly phenomenon. The high mortality rates reflect the severity of the HVI and associated injuries. HVI patients should be carefully monitored for related injuries and complications.

Original languageEnglish (US)
Pages (from-to)289-294
Number of pages6
JournalJournal of Trauma
Volume54
Issue number2
DOIs
StatePublished - Feb 2003

Keywords

  • Blunt trauma
  • Colon injury
  • Duodenal injury
  • Hollow viscus injury
  • Incidence
  • Multi-institutional study
  • Small bowel injury
  • Stomach injury
  • Trauma

ASJC Scopus subject areas

  • Surgery
  • Critical Care and Intensive Care Medicine

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