@article{ref1,
title="A population-based study of pancreatic trauma in Scotland",
journal="World journal of surgery",
year="2006",
author="Scollay, John M. and Yip, Vincent S. K. and Garden, O. J. and Parks, R. W.",
volume="30",
number="12",
pages="2136-2141",
abstract="INTRODUCTION: The aim of this population-based study was to assess the incidence, mechanisms, management and outcome of patients who sustained pancreatic trauma in Scotland over the period 1992-2002. METHODS: The Scottish Trauma Audit Group database was searched for details of any patient with pancreatic trauma. RESULTS: About 111 of 52,676 patients (0.21%) were identified as having sustained pancreatic trauma. The male-to-female ratio was 3:1, with a median age of 32 years. Blunt trauma accounted for 66% of injuries. Road traffic accidents were the most common mechanism of injury (44%), followed by assaults (35%). Thirty-four patients (31%) were haemodynamically unstable on arrival at hospital. Pancreatic trauma was associated with injuries to the chest (56%), head (30%) and extremities (30%); 73% of patients had other intra-abdominal injuries. Of those who left the emergency department alive, at least 77% required a laparotomy. The mortality rate (46%) was directly proportional to the number of injuries sustained (P < 0.05) and was higher in patients with increasing age (P < 0.05), haemodynamic instability (P < 0.05) and blunt trauma (P < 0.05). CONCLUSIONS: Pancreatic trauma is rare in Scotland but is associated with significant mortality. Outcome was worse in patients with advanced age, haemodynamic instability, blunt trauma and multiple injuries.<p /> <p>Language: en</p>",
language="en",
issn="0364-2313",
doi="10.1007/s00268-006-0039-z",
url="http://dx.doi.org/10.1007/s00268-006-0039-z"
}