@article{ref1,
title="Self-inflicted abdominal stab wounds have a higher rate of non-therapeutic laparotomy/laparoscopy and a lower risk of injury",
journal="World journal of surgery",
year="2017",
author="Bugaev, Nikolay and McKay, Kevin and Breeze, Janis L. and Arabian, Sandra S. and Rabinovici, Reuven",
volume="41",
number="11",
pages="2681-2688",
abstract="BACKGROUND: The profile and management of self-inflicted abdominal stab wounds (SI-ASW) patients is still obscure. <br><br>METHODS: The National Trauma Data Bank (2012) was queried for adults with abdominal stab wounds (n = 9544). Patients with SI-ASW (n = 1724) and non-SI-ASW (n = 7820) were compared. Predictors for non-therapeutic laparotomy/laparoscopy (non-TL) in SI-ASW patients were identified. <br><br>RESULTS: SI-ASW patients were older, had more females and behavioral disorders, similar physiology, but a lower Injury Severity Score. They had more laparotomies overall (54 versus 48%, p < 0.0001) and more non-TL (42 versus 32%, p < 0.0001), but less injuries (43 versus 53%, p < 0.0001), although peritoneal violation rate was similar. Complications and mortality were similar. In the SI-ASW cohort, non-TL patients were more likely to be female and younger, and to have Glasgow Coma Scale (GCS) ≥13 and a higher systolic blood pressure. History of psychiatric, drug and alcohol disorders was associated with SI-ASW, but did not independently predict the need for treatment in adjusted models. <br><br>CONCLUSION: Patients with SI-ASW underwent more non-TL than patients with non-SI-ASW. Female gender, younger age, and a higher GCS and systolic blood pressure predicted non-TL in this group.<p /> <p>Language: en</p>",
language="en",
issn="0364-2313",
doi="10.1007/s00268-017-4083-7",
url="http://dx.doi.org/10.1007/s00268-017-4083-7"
}