Penetrating XXXX index.

@entity1 @entity12967 @entity190 @entity1457 @entity1661 @entity130
A method of quantifying the risk of complication following penetrating @entity1661 is described. A @entity130 index score was calculated by assigning a risk factor (1-5) to each organ injured and then multiplying this by a severity of injury estimate (1-5). The sum of the individual organ scores comprised the final penetrating @entity130 index (P.A.T.I.). A consecutive series from 1975 to 1979 of 108 @entity12967 wounds and 114 gunshot wounds to the abdomen requiring laparotomy were analyzed by this scheme. Only @entity1 surviving 24 hours postoperatively were evaluated. Gunshot wounds resulted in P.A.T.I. scores greater than 25 in 39 (34%) of the @entity1 . This was associated with a 46% complication rate and contrasted to a 7% incidence when the P.A.T.I. was equal to or less than 25. Following abdominal stab wounds six (6%) of the @entity1 had P.A.T.I. scores exceeding 25. Complications developed in 50% of this group compared to 5% when the P.A.T.I. was less than 25. Using the P.A.T.I., we conclude that gunshot victims are more likely to need @entity130 center treatment than those with stab wounds. The P.A.T.I. also might facilitate cost analysis of @entity130 care. The ability to assess effects of @entity1 age, sex, amount of @entity190 , duration of @entity1457 , and metabolic response to injury might further enhance the therapeutic implications in both penetrating and blunt @entity1661 .
