@article{ref1,
title="An analysis of outcomes after trauma in obstetric patients",
journal="American surgeon",
year="2023",
author="Hashmi, Danielle and Farrell, Michael and Salbinski, Lauren and Cipolle, Mark and Painter, Matthew",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="Traumatic injury in obstetric patients has been shown to correlate with adverse fetal outcomes; however, data predates modern resuscitation and imaging techniques. A single center retrospective review was performed analyzing risk factors for obstetric outcomes for pregnant patients seen at a Level 1 Trauma Center from 2010 to 2020. 571 pregnant patients were compared to nonpregnant child-bearing age women. Injury Severity Scores (ISS) were higher in nonpregnant patients (5 vs 0, P <.001), with similar mortality (P =.07). 558 (98%) injured pregnant patients had an ISS < 9. 122 (21%) pregnant patients suffered obstetric or fetal complications, had higher ISS (P <.001), higher abbreviated injury scales (AIS) for thorax, abdomen, spine, lower extremities (P <.05), and lower gestational age (P =.005). Age, Glasgow Coma Score (GCS), AIS Abdomen and Lower Extremity, and preterm pregnancy were predictive of adverse outcomes. Non-caucasian race, higher gestational age, and term pregnancy were predictive of labor during admission.<p /> <p>Language: en</p>",
language="en",
issn="0003-1348",
doi="10.1177/00031348231174015",
url="http://dx.doi.org/10.1177/00031348231174015"
}