The occurence and detection of hemodynamically significant bleeding into the retroperitoneum in patients dying due to blunt traumatic-haemorrhagic shock

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F60162694%3AG44__%2F19%3A00536898" target="_blank" >RIV/60162694:G44__/19:00536898 - isvavai.cz</a>

Alternative codes found

RIV/00216208:11150/19:10404335 RIV/00179906:_____/19:10404335

Result on the web

<a href="https://www.mmsl.cz/pdfs/mms/2019/01/01.pdf" target="_blank" >https://www.mmsl.cz/pdfs/mms/2019/01/01.pdf</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.31482/mmsl.2018.034" target="_blank" >10.31482/mmsl.2018.034</a>

Result language

angličtina

Original language name

The occurence and detection of hemodynamically significant bleeding into the retroperitoneum in patients dying due to blunt traumatic-haemorrhagic shock

Original language description

Background: The occurrence of retroperitoneal bleeding and the manner of detection was retrospectively evaluated in patients with life-threatening traumatic bleeding. Methods: The cohort included patients who died in the Trauma Centre of the University Hospital Hradec Kralove in Czech Republic between 2008 and 2012 due to traumatic hemorrhagic shock. Findings of retroperitoneal bleeding and the findings found for life (i.e., CT, FAST, pre-operative findings) were compared. Results: During the five-year period, deaths due to the post-mortem diagnosis of traumatic hemorrhagic shock were recorded in 75 patients, 26 of which (35%) were verified by post-mortem autopsy to have hemodynamically significant bleeding into the retroperitoneum (HSBR) from 31 sources. HSBR was identified for life in 10 patients with HSBR (38.5%). Sensitivity was 55% in CT angiography and 36% in laparotomy without previous CT. The sensitivity of laparotomy with surgical exploration of the retroperitoneum was 67%. A predisposing factor for hemodynamically significant bleeding into the retroperitoneum, which may escape the surgeon´s attention, is high-energy blunt trauma to the trunk. Conclusions: In the acute stage of treatment of patients with life-threatening bleeding due to high-energy blunt trauma, the surgeon has to decide whether the patient´s condition allows CT and whether hematoma of the retroperitoneum should be revised surgically. However, in the present cohort few patients with HSBR underwent surgical exploration of the retroperitoneum because the hematoma was ascribed to the known injury of the pelvis and spine.

Czech name

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Czech description

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Type

J_SC - Article in a specialist periodical, which is included in the SCOPUS database

CEP classification

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OECD FORD branch

30212 - Surgery

Project

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2019

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Military Medical Science Letters

ISSN

0372-7025

e-ISSN

2571-113X

Volume of the periodical

88

Issue of the periodical within the volume

1

Country of publishing house

CZ - CZECH REPUBLIC

Number of pages

9

Pages from-to

2-10

UT code for WoS article

—

EID of the result in the Scopus database

2-s2.0-85064280849