Risk factors for mortality in blunt XXXX with surgical approach.

@entity1 @entity1661 @entity3511 @entity204 @entity130
OBJECTIVE: identify risk factors for mortality in @entity1 who underwent laparotomy after blunt @entity1661 . METHODS: retrospective study, case-control, which were reviewed medical records of blunt @entity130 victims @entity1 undergoing laparotomy, from March 2013 to January 2015, and compared the result of the @entity204 group with the group healed. RESULTS: of 86 @entity1 , 63% were healed, 36% died, and one @entity1 was excluded from the study. Both groups had similar epidemiology and @entity130 mechanism, predominantly young adults males, automobilistic accident. Most cases that evolved to death had hemodynamic instability as laparotomy indication - 61% against 38% in the other group (p=0.02). The presence of solid organ injury was larger in the group of @entity204 - 80% versus 48% (p=0.001) and 61% of them had other associated @entity3511 compared to 25% in the other group (p=0.01). Of the @entity1 who died 96% had other serious injuries associated (p=0.0003). @entity1 requiring damage control surgery had a higher mortality rate (p=0.0099). Only one of 18 @entity1 with isolated hollow organ lesion evolved to death (p=0.0001). The mean injury score of TRISS of cured (91.70%) was significantly higher than that of @entity204 (46.3%) (p=0.002). CONCLUSION: the risk factors for mortality were hemodynamic instability as an indication for laparotomy, presence of solid organ injury, multiple intra-abdominal injuries, need for damage control surgery, serious injury association and low index of @entity130 score.
