Abstract：
BACKGROUND: Unstable abdominal trauma patients should be treated with emergent laparotomy. However, few studies have evaluated the association between time to surgery and survival in these patients. We aimed to assess the influence of time to laparotomy on outcomes in blunt and penetrating unstable abdominal trauma patients.
METHODS: This retrospective study includes patients with abdominal injuries, systolic blood pressure <90mmHg on arrival, admitted in Israel during 2000-2018. Data regarding patients\' characteristics, Injury Severity Score (ISS), Glasgow Coma Scale (GCS), time to surgery, length of hospital stay and mortality were collected via The Israeli National Trauma Registry.
RESULTS: Overall, 69 blunt and 127 penetrating injury patients were included in the study. For blunt and penetrating trauma patients with ISS ≤14, no differences in outcome were found between patients who underwent laparotomy within 60min of admission and those who underwent laparotomy within 60-120min of admission. In patients with blunt trauma, ISS ≥16, and GCS <15, mortality was higher in the immediate laparotomy group (p = 0.004 and 0.049, respectively).
CONCLUSIONS: In patients with a penetrating injury, no differences in mortality between immediate and expedient laparotomy were demonstrated. In patients with a blunt injury, with ISS ≥16 and GCS <15, mortality was higher among the immediate laparotomy group.
METHODS: This retrospective study includes patients with abdominal injuries, systolic blood pressure <90mmHg on arrival, admitted in Israel during 2000-2018. Data regarding patients\' characteristics, Injury Severity Score (ISS), Glasgow Coma Scale (GCS), time to surgery, length of hospital stay and mortality were collected via The Israeli National Trauma Registry.
RESULTS: Overall, 69 blunt and 127 penetrating injury patients were included in the study. For blunt and penetrating trauma patients with ISS ≤14, no differences in outcome were found between patients who underwent laparotomy within 60min of admission and those who underwent laparotomy within 60-120min of admission. In patients with blunt trauma, ISS ≥16, and GCS <15, mortality was higher in the immediate laparotomy group (p = 0.004 and 0.049, respectively).
CONCLUSIONS: In patients with a penetrating injury, no differences in mortality between immediate and expedient laparotomy were demonstrated. In patients with a blunt injury, with ISS ≥16 and GCS <15, mortality was higher among the immediate laparotomy group.
摘要：
背景：不稳定腹部创伤患者应进行紧急剖腹手术治疗。然而,很少有研究评估这些患者的手术时间和生存率之间的关系.我们旨在评估剖腹手术时间对钝性和穿透性不稳定腹部创伤患者预后的影响。
方法：这项回顾性研究包括腹部损伤患者，到达时收缩压<90mmHg，2000-2018年在以色列被录取。有关患者特征的数据，伤害严重程度评分（ISS），格拉斯哥昏迷量表（GCS），手术时间到了,通过以色列国家创伤登记处收集住院时间和死亡率。
结果：总体而言，研究包括69例钝性损伤和127例穿透性损伤患者。对于ISS≤14的钝性和穿透性创伤患者，在入院后60分钟内进行剖腹手术的患者与入院后60-120分钟内进行剖腹手术的患者之间的预后没有差异。在钝性创伤患者中，ISS≥16和GCS<15，立即剖腹组的死亡率更高（分别为p=0.004和0.049）。
结论：在穿透性损伤患者中，即时剖腹手术和便利剖腹手术之间的死亡率没有差异.在钝性损伤的患者中，ISS≥16和GCS<15时,立即剖腹手术组的死亡率较高.
方法：这项回顾性研究包括腹部损伤患者，到达时收缩压<90mmHg，2000-2018年在以色列被录取。有关患者特征的数据，伤害严重程度评分（ISS），格拉斯哥昏迷量表（GCS），手术时间到了,通过以色列国家创伤登记处收集住院时间和死亡率。
结果：总体而言，研究包括69例钝性损伤和127例穿透性损伤患者。对于ISS≤14的钝性和穿透性创伤患者，在入院后60分钟内进行剖腹手术的患者与入院后60-120分钟内进行剖腹手术的患者之间的预后没有差异。在钝性创伤患者中，ISS≥16和GCS<15，立即剖腹组的死亡率更高（分别为p=0.004和0.049）。
结论：在穿透性损伤患者中，即时剖腹手术和便利剖腹手术之间的死亡率没有差异.在钝性损伤的患者中，ISS≥16和GCS<15时,立即剖腹手术组的死亡率较高.
