Snapshot of trauma laparotomy deaths in Queensland

Ashrafi, Darius, Rey-Conde, Therese, North, John B and Wysocki, Arkadiusz P (2018) Snapshot of trauma laparotomy deaths in Queensland. ANZ Journal of Surgery , . doi:10.1111/ans.14431


Author Ashrafi, Darius
Rey-Conde, Therese
North, John B
Wysocki, Arkadiusz P
Title Snapshot of trauma laparotomy deaths in Queensland
Journal name ANZ Journal of Surgery    Check publisher's open access policy
ISSN 1445-2197
1445-1433
Publication date 2018-03-06
Sub-type Article (original research)
DOI 10.1111/ans.14431
Open Access Status Not yet assessed
Total pages 4
Place of publication Richmond, VIC., Australia
Publisher Wiley-Blackwell Publishing Asia
Language eng
Subject 2746 Surgery
Abstract Trauma remains the most frequent cause of death for patients under 35 years of age. Head injury and catastrophic haemorrhage account for the majority of early deaths. A trauma laparotomy is often necessary to arrest haemorrhage.

All patients who died in Queensland hospitals between 2011 and 2016 having had a trauma laparotomy were identified from the Queensland Audit of Surgical Mortality.

About 69.0% of the 84 deaths were male with a median age of 47.6 years. About 64.3% of deaths occurred within the first 2 days following trauma. Mechanism of injury was typically road traffic accident (77.4%). Sixteen patients underwent a non-therapeutic laparotomy. Following peer-review, different management was recommended for only three patients.

This group of patients who died in the setting of a trauma laparotomy received high quality trauma care. Ongoing education is needed as some non-therapeutic laparotomies may be avoidable.
Keyword Laparotomy
Mortality
Quality assurance
Trauma
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: HERDC Pre-Audit
School of Medicine Publications
 
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Created: Wed, 14 Mar 2018, 10:07:00 EST