Journal article
An Analysis of Outcomes After Trauma in Obstetric Patients
The American surgeon, v 89(9)
01 Sep 2023
PMID: 37230066
Featured in Collection : UN Sustainable Development Goals @ Drexel
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,
< .001), with similar mortality (
= .07). 558 (98%) injured pregnant patients had an ISS < 9. 122 (21%) pregnant patients suffered obstetric or fetal complications, had higher ISS (
< .001), higher abbreviated injury scales (AIS) for thorax, abdomen, spine, lower extremities (
< .05), and lower gestational age (
= .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.
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Details
- Title
- An Analysis of Outcomes After Trauma in Obstetric Patients
- Creators
- Danielle Hashmi - Crozer-Keystone Health SystemMichael Farrell - Lehigh Valley Hospital-PoconoLauren Salbinski - Lafayette CollegeMark Cipolle - Lehigh Valley Hospital-PoconoMatthew Painter - Lehigh Valley Hospital-Pocono
- Publication Details
- The American surgeon, v 89(9)
- Publisher
- Sage
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Surgery
- Web of Science ID
- WOS:001001635100001
- Scopus ID
- 2-s2.0-85163020365
- Other Identifier
- 991022007382004721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Surgery