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Time to Laparotomy for Intra-abdominal Bleeding from Trauma Does Affect Survival for Delays Up to 90 Minutes

Abstract

Among patients in a trauma registry who were hypotensive on arrival in the ED and had major injuries isolated to the abdomen requiring emergency laparotomy, the probability of death showed a relationship to both the extent of hypotension and the length of time in the ED for patients who were in the ED for 90 minutes or less. The probability of death increased approximately 1% for each 3 minutes in the ED.

Trauma and Emergency Care StudiesAbdominal Trauma and InjuriesPelvic and Acetabular InjuriesMedicineLaparotomyEmergency departmentAbdomenBlood pressurePenetrating traumaSurgeryAnesthesiaInternal medicineBlunt

MeSH terms

Abdominal InjuriesEmergency Service, HospitalHemorrhageHumansHypotensionPredictive Value of TestsRegistriesRisk FactorsTime FactorsInjury Severity ScoreLogistic ModelsSurvival Analysis
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531
FWCI
6.15
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Time to Laparotomy for Intra-abdominal Bleeding from Trauma Does Affect Survival for Delays Up to 90 Minutes · Scinovex