TY  - JOUR
PY  - 2023//
TI  - An analysis of outcomes after trauma in obstetric patients
JO  - American surgeon
A1  - Hashmi, Danielle
A1  - Farrell, Michael
A1  - Salbinski, Lauren
A1  - Cipolle, Mark
A1  - Painter, Matthew
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - 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>
LA  - en
SN  - 0003-1348
UR  - http://dx.doi.org/10.1177/00031348231174015
ID  - ref1
ER  -