TY  - JOUR
PY  - 2024//
TI  - An abdominal seat belt sign is associated with similar incidence of hollow viscus injury but increased in-hospital mortality in older adult trauma patients: a PCSA multicenter study
JO  - American surgeon
A1  - Sullivan, Brittany G.
A1  - Delaplain, Patrick T.
A1  - Manasa, Morgan
A1  - Tay-Lasso, Erika
A1  - Biffl, Walter L.
A1  - Schaffer, Kathryn B.
A1  - Sundel, Margaret
A1  - Behdin, Samar
A1  - Ghneim, Mira
A1  - Costantini, Todd W.
A1  - Santorelli, Jarrett E.
A1  - Switzer, Emily
A1  - Schellenberg, Morgan
A1  - Keeley, Jessica A.
A1  - Kim, Dennis Y.
A1  - Wang, Andrew
A1  - Dhillon, Navpreet K.
A1  - Patel, Deven
A1  - Campion, Eric M.
A1  - Robinson, Caitlin K.
A1  - Kartiko, Susan
A1  - Quintana, Megan T.
A1  - Estroff, Jordan M.
A1  - Kirby, Katharine A.
A1  - Nahmias, Jeffry
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - BACKGROUND: The abdominal seat belt sign (SBS) is associated with an increased risk of hollow viscus injury (HVI). Older age is associated with worse outcomes in trauma patients. Thus, older trauma patients ≥65 years of age (OTPs) may be at an increased risk of HVI with abdominal SBS. Therefore, we hypothesized an increased incidence of HVI and mortality for OTPs vs younger trauma patients (YTPs) with abdominal SBS. STUDY DESIGN: This post hoc analysis of a multi-institutional, prospective, observational study (8/2020-10/2021) included patients >18 years old with an abdominal SBS who underwent abdominal computed tomography (CT) imaging. Older trauma patients were compared to YTPs (18-64 years old) with bivariate analyses. <br><br>RESULTS: Of the 754 patients included in this study from nine level-1 trauma centers, there were 110 (14.6%) OTPs and 644 (85.4%) YTPs. Older trauma patients were older (mean 75.3 vs 35.8 years old, P <.01) and had a higher mean Injury Severity Score (10.8 vs 9.0, P =.02). However, YTPs had an increased abdominal abbreviated-injury scale score (2.01 vs 1.63, P =.02). On CT imaging, OTPs less commonly had intraabdominal free fluid (21.7% vs 11.9%, P =.02) despite a similar rate of abdominal soft tissue contusion (P >.05). Older trauma patients also had a statistically similar rate of HVI vs YTPs (5.5% vs 9.8%, P =.15). Despite this, OTPs had increased mortality (5.5% vs 1.1%, P <.01) and length of stay (LOS) (5.9 vs 4.9 days P <.01). <br><br>CONCLUSION: Despite a similar rate of HVI, OTPs with an abdominal SBS had an increased rate of mortality and LOS. This suggests the need for heightened vigilance when caring for OTPs with abdominal SBS.<p />  <p>Language: en</p>
LA  - en
SN  - 0003-1348
UR  - http://dx.doi.org/10.1177/00031348241256084
ID  - ref1
ER  -