Premium
Traumatic injury to the colon and rectum in Scotland: demographics and outcome
Author(s) -
Brady R. R.,
O’Neill S.,
Berry O.,
Kerssens J. J.,
Yalamarthi S.,
Parks R. W.
Publication year - 2012
Publication title -
colorectal disease
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.029
H-Index - 89
eISSN - 1463-1318
pISSN - 1462-8910
DOI - 10.1111/j.1463-1318.2011.02753.x
Subject(s) - medicine , glasgow coma scale , injury severity score , blunt trauma , blunt , rectum , mortality rate , demographics , prospective cohort study , traumatic brain injury , penetrating trauma , injury prevention , surgery , poison control , emergency medicine , demography , psychiatry , sociology
Aim An analysis of a multi‐centred database of trauma patients was performed. Method The study used data from a prospective multi‐centre trauma database containing details of 52 887 trauma patients admitted to participating Scottish Hospitals over an 11‐year period. Results Three hundred and forty (0.64%) of 52 887 trauma patients (284 male) with colorectal injuries were identified; 43.9% of colorectal injuries occurred following blunt trauma and 56.1% following penetrating injury. Patients in the latter group were younger, had less haemodynamic compromise and were less likely to die than those with blunt trauma ( P < 0.01). The overall mortality rate was 25.6% and after rectal injury it was 21.2% ( P > 0.05). Female gender, increased age, road traffic accidents and those admitted as a result of a blunt traumatic injury were associated with increased mortality. Age > 65 years ( P = 0.01), increasing injury severity score (ISS) at presentation ( P < 0.001), haemodynamic compromise ( P = 0.045) and decreased Glasgow Coma Score (GCS) ( P < 0.001) had the strongest independent associations with mortality. Conclusion Colorectal injury after trauma has a high morbidity. Clinical features associated with death allow stratification of mortality risk.