TY  - JOUR
PY  - 2006//
TI  - A population-based study of pancreatic trauma in Scotland
JO  - World journal of surgery
A1  - Scollay, John M.
A1  - Yip, Vincent S. K.
A1  - Garden, O. J.
A1  - Parks, R. W.
SP  - 2136
EP  - 2141
VL  - 30
IS  - 12
N2  - 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>
LA  - en
SN  - 0364-2313
UR  - http://dx.doi.org/10.1007/s00268-006-0039-z
ID  - ref1
ER  -