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Critical Care

Open Access

The incidence of organ dysfunction and failure in patients with abdominal trauma

  • MC Oliveira1 and
  • A Réa-Neto1
Critical Care20059(Suppl 2):P124

https://doi.org/10.1186/cc3668

Published: 9 June 2005

Keywords

Public HealthGeneral PopulationHigh MortalityEmergency MedicineOrgan Failure

Introduction

Trauma patients have a high mortality and more often develop organ failure with poor outcome.

Objective

To study the incidence of organ dysfunction and failure, and the impact on mortality of patients who were admitted to an ICU with abdominal trauma without other lesions.

Materials and methods

We studied patients admitted to a trauma ICU from 1 January 2001 to 31 December 2003. The Sequential Organ Failure Assessment score at admission was measured; we considered points 1 and 2 of the score as dysfunction and points 3 and 4 as failure.

Results

A total of 77 patients were studied and the mortality was 31%; the mortality of the general population with multiple traumas (725 patients) was 39%. The incidence of organ dysfunction and failure, with the correspondent mortality, is illustrated in Table 1.
Table 1

Incidence of organ dysfunction and failure in abdominal trauma patients

  

Dysfunction

Failure

  

Incidence (%)

Mortality (%)

Incidence (%)

Mortality (%)

Respiration

Abdominal

76

33

18

43

 

Multiple trauma

63

22

24

60

Coagulation

Abdominal

41

50

11

100

 

Multiple trauma

25

44

2

82

Liver

Abdominal

35

38

-

-

 

Multiple trauma

20

38

1

40

Cardiovascular

Abdominal

-

-

30

100

 

Multiple trauma

3

58

21

61

Renal

Abdominal

35

62

18

100

 

Multiple trauma

10

56

4

71

Conclusion

The frequency of coagulation and renal dysfunction and failure is higher in patients with abdominal trauma than in patients with multiple trauma. The presence of renal, cardiovascular and hematological failures was associated with higher mortality in patients with abdominal trauma than in patients with multiple trauma.

Authors’ Affiliations

(1)
CEPETI, Hospital do Trabalhador Da UFPR, Curitiba, Brazil

Copyright

© BioMed Central Ltd 2005

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