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- W4384926688 abstract "Background Our study compares the delayed outcomes of operative versus nonoperative management of pancreatic injuries. Methods We analyzed the 2017 Nationwide Readmissions Database on adult (≥18 years) trauma patients with pancreatic injuries. Patients who died on index admission were excluded. Patients were stratified into operative (OP) and non-operative (NOP) groups and compared for outcomes within 90 days of discharge. Multivariable regression analyses were performed. Results We identified 1553 patients (NOP = 1092; OP = 461). The Mean (SD) age was 39 17 Hiremath B. Hegde N. Non-operative management of a grade IV pancreatic injury. Case Reports. 2014; 2014bcr2014203805 Google Scholar years, 31% of patients were female, and 77% had blunt injuries. Median ISS was 17 [9–25] and 74% had concomitant non-pancreatic intraabdominal injuries. On multivariable analysis, operative management was independently associated with increased odds of 90-day readmissions (aOR = 1.47; p = 0.03), intraabdominal abscesses (aOR = 2.7; p < 0.01), pancreatic pseudocyst (aOR = 2.4; p = 0.04), and need for percutaneous or endoscopic management (aOR = 5.8; p < 0.001). Conclusion Operative management of pancreatic injuries is associated with higher rates of delayed complications compared to non-operative management. Surgically treated pancreatic trauma patients may need close surveillance even after discharge." @default.
- W4384926688 created "2023-07-22" @default.
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- W4384926688 date "2023-07-01" @default.
- W4384926688 modified "2023-10-18" @default.
- W4384926688 title "From surveillance to surgery: The delayed implications of non-operative and operative management of pancreatic injuries" @default.
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- W4384926688 doi "https://doi.org/10.1016/j.amjsurg.2023.07.027" @default.
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