FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2279002748> ?p ?o ?g. }

• W2279002748 abstract "The staged laparotomy in the operative management of emergency general surgery (EGS) patients is an extension of trauma surgeons operating on this population. Indications for its application, however, are not well defined, and are currently based on the lethal triad used in physiologically-decompensated trauma patients. This study sought to determine the acute indications for the staged, rapid source control laparotomy (RSCL) in EGS patients. All EGS patients undergoing emergent staged RSCL and non-RSCL over 3 years were studied. Demographics, physiologic parameters, perioperative variables, outcomes, and survival were compared. Logistic regression models determined the influence of physiologic parameters on mortality and postoperative complications. EGS-RSCL indications were defined. 215 EGS patients underwent emergent laparotomy; 53 (25 %) were staged RSCL. In the 53 patients who underwent a staged RSCL based on the lethal triad, adjusted multivariable regression analysis shows that when used alone, no component of the lethal triad independently improved survival. Staged RSCL may decrease mortality in patients with preoperative severe sepsis / septic shock, and an elevated lactate (≥3); acidosis (pH ≤ 7.25); elderly (≥70); male gender; and multiple comorbidities (≥3). Of the 162 non-RSCL emergent laparotomies, 27 (17 %) required unplanned re-explorations; of these, 17 (63 %) had sepsis preoperatively and 9 (33 %) died. The acute physiologic indicators that help guide operative decisions in trauma may not confer a similar survival advantage in EGS. To replace the lethal triad, criteria for application of the staged RSCL in EGS need to be defined. Based on these results, the indications should include severe sepsis / septic shock, lactate, acidosis, gender, age, and pre-existing comorbidities. When correctly applied, the staged RSCL may help to improve survival in decompensated EGS patients." @default.
• W2279002748 created "2016-06-24" @default.
• W2279002748 creator A5011237101 @default.
• W2279002748 creator A5029774861 @default.
• W2279002748 creator A5060430676 @default.
• W2279002748 creator A5062693790 @default.
• W2279002748 creator A5063900162 @default.
• W2279002748 creator A5066457120 @default.
• W2279002748 creator A5069715519 @default.
• W2279002748 creator A5084283823 @default.
• W2279002748 date "2016-02-24" @default.
• W2279002748 modified "2023-10-18" @default.
• W2279002748 title "Damage control operations in non-trauma patients: defining criteria for the staged rapid source control laparotomy in emergency general surgery" @default.
• W2279002748 cites W1970661572 @default.
• W2279002748 cites W1974909240 @default.
• W2279002748 cites W1977335787 @default.
• W2279002748 cites W1991721421 @default.
• W2279002748 cites W1993389721 @default.
• W2279002748 cites W2002350901 @default.
• W2279002748 cites W2003581849 @default.
• W2279002748 cites W2006543601 @default.
• W2279002748 cites W2019415330 @default.
• W2279002748 cites W2022700005 @default.
• W2279002748 cites W2028517857 @default.
• W2279002748 cites W2032680743 @default.
• W2279002748 cites W2034006243 @default.
• W2279002748 cites W2038062266 @default.
• W2279002748 cites W2052001890 @default.
• W2279002748 cites W2063941286 @default.
• W2279002748 cites W2065592680 @default.
• W2279002748 cites W2070767947 @default.
• W2279002748 cites W2076122670 @default.
• W2279002748 cites W2087203965 @default.
• W2279002748 cites W2090748407 @default.
• W2279002748 cites W2091522759 @default.
• W2279002748 cites W2104415072 @default.
• W2279002748 cites W2105757439 @default.
• W2279002748 cites W2117716457 @default.
• W2279002748 cites W2136927172 @default.
• W2279002748 cites W2144830469 @default.
• W2279002748 cites W2160691650 @default.
• W2279002748 cites W2432505082 @default.
• W2279002748 cites W90010090 @default.
• W2279002748 doi "https://doi.org/10.1186/s13017-016-0067-4" @default.
• W2279002748 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/4765073" @default.
• W2279002748 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/26913055" @default.
• W2279002748 hasPublicationYear "2016" @default.
• W2279002748 type Work @default.
• W2279002748 sameAs 2279002748 @default.
• W2279002748 citedByCount "49" @default.
• W2279002748 countsByYear W22790027482016 @default.
• W2279002748 countsByYear W22790027482017 @default.
• W2279002748 countsByYear W22790027482018 @default.
• W2279002748 countsByYear W22790027482019 @default.
• W2279002748 countsByYear W22790027482020 @default.
• W2279002748 countsByYear W22790027482021 @default.
• W2279002748 countsByYear W22790027482022 @default.
• W2279002748 countsByYear W22790027482023 @default.
• W2279002748 crossrefType "journal-article" @default.
• W2279002748 hasAuthorship W2279002748A5011237101 @default.
• W2279002748 hasAuthorship W2279002748A5029774861 @default.
• W2279002748 hasAuthorship W2279002748A5060430676 @default.
• W2279002748 hasAuthorship W2279002748A5062693790 @default.
• W2279002748 hasAuthorship W2279002748A5063900162 @default.
• W2279002748 hasAuthorship W2279002748A5066457120 @default.
• W2279002748 hasAuthorship W2279002748A5069715519 @default.
• W2279002748 hasAuthorship W2279002748A5084283823 @default.
• W2279002748 hasBestOaLocation W22790027481 @default.
• W2279002748 hasConcept C126322002 @default.
• W2279002748 hasConcept C141071460 @default.
• W2279002748 hasConcept C177713679 @default.
• W2279002748 hasConcept C2777628635 @default.
• W2279002748 hasConcept C2778384902 @default.
• W2279002748 hasConcept C2780778865 @default.
• W2279002748 hasConcept C2781300812 @default.
• W2279002748 hasConcept C2908647359 @default.
• W2279002748 hasConcept C71924100 @default.
• W2279002748 hasConcept C99454951 @default.
• W2279002748 hasConceptScore W2279002748C126322002 @default.
• W2279002748 hasConceptScore W2279002748C141071460 @default.
• W2279002748 hasConceptScore W2279002748C177713679 @default.
• W2279002748 hasConceptScore W2279002748C2777628635 @default.
• W2279002748 hasConceptScore W2279002748C2778384902 @default.
• W2279002748 hasConceptScore W2279002748C2780778865 @default.
• W2279002748 hasConceptScore W2279002748C2781300812 @default.
• W2279002748 hasConceptScore W2279002748C2908647359 @default.
• W2279002748 hasConceptScore W2279002748C71924100 @default.
• W2279002748 hasConceptScore W2279002748C99454951 @default.
• W2279002748 hasFunder F4320332501 @default.
• W2279002748 hasIssue "1" @default.
• W2279002748 hasLocation W22790027481 @default.
• W2279002748 hasLocation W22790027482 @default.
• W2279002748 hasLocation W22790027483 @default.
• W2279002748 hasLocation W22790027484 @default.
• W2279002748 hasLocation W22790027485 @default.
• W2279002748 hasLocation W22790027486 @default.
• W2279002748 hasOpenAccess W2279002748 @default.
• W2279002748 hasPrimaryLocation W22790027481 @default.
• W2279002748 hasRelatedWork W1579169221 @default.
• W2279002748 hasRelatedWork W1984304831 @default.

• next