Anterior abdominal stab injury: a comparison of self-inflicted and intentional third-party stabbings

作者：Banerjee Aman; Zhou Hannah Y; Kelly Katherine B; Downs Bianca D; Como John J; Claridge Jeffrey A^*

来源：American Journal of Surgery, 2013, 205(3): 274-278.

DOI：10.1016/j.amjsurg.2012.10.012

• Self-inflicted injury
• Anterior abdominal stab wounds
• Outcomes
• Penetrating trauma

BACKGROUND: There is minimal literature comparing self-inflicted (SI) with non-self-inflicted (NSI) anterior abdominal stab wounds (AASW). %26lt;br%26gt;METHODS: Adult patients treated at a level 1 trauma center from 2006 through 2011 with an AASW were reviewed. %26lt;br%26gt;RESULTS: There were 215 patients with an AASW; 20% were SI. NSI patients had more nonabdominal injuries (47% vs 16%, P %26lt; .01) and disposition directly to the operating room (45% vs 26%, P = .02). Intra-abdominal injury rates were similar. One hundred twenty-eight patients had isolated AASWs; 28% were SI. SI patients had higher admission rates (86% vs 63%, P = .01). One hundred three patients had isolated stable/asymptomatic AASWs; 31% were SI. SI patients had more admissions (84% vs 52%, P %26lt; .01), had higher intensive care unit admission rates (23% vs 5%, P = .01), longer LOS (3.2 vs 1.4, P %26lt; .01), and higher hospital charges ($18,000 vs $11,000, P %26lt; .01). The rates of intraabdominal injury were again similar. %26lt;br%26gt;CONCLUSIONS: Controlling for extra-abdominal injuries, SI AASW patients have similar rates of intra-abdominal injury but use more resources.

• 出版日期2013-3