Publication:
Factors affecting mortality and morbidity after traumatic diaphragmatic injury

dc.contributor.buuauthorÖzgüç, Halil
dc.contributor.buuauthorAkköse, Şule
dc.contributor.buuauthorŞen, Gürol
dc.contributor.buuauthorBulut, Mehtap
dc.contributor.buuauthorKaya, Ekrem
dc.contributor.departmentTıp Fakültesi
dc.contributor.departmentGenel Cerrahi Bilimler Bölümü
dc.contributor.orcid0000-0002-9562-4195
dc.contributor.researcheridAAG-7319-2021
dc.contributor.researcheridAAX-5571-2021
dc.contributor.scopusid6603867989
dc.contributor.scopusid6603347542
dc.contributor.scopusid23013375200
dc.contributor.scopusid56233163200
dc.contributor.scopusid7004568109
dc.date.accessioned2022-09-16T08:48:24Z
dc.date.available2022-09-16T08:48:24Z
dc.date.issued2007-12
dc.description.abstractPurpose. We review our 11-year experience of treating diaphragmatic injury (DI), to identify the factors determining mortality and morbidity. Methods. We analyzed the effects of demographic characteristics, type of injury (blunt or penetrating), number of injured organs, injury severity score (ISS), revised trauma score (RTS), Glasgow coma score, and intensive care unit and hospital stay, on complications and mortality, in 51 patients treated for DI between January 1995 and December 2005. Results. Twenty-six (51%) patients suffered blunt injury and 25 (49%) suffered penetrating injury. The left diaphragm was injured in 40 (78%) patients, the right in 10 (19%), and both sides in 1 (2%). Only three (5.8%) patients had no concomitant injury. The diagnosis was made by the findings of laparotomy on 34 patients (65%), preoperative chest X-ray on 13 (25%), computed tomography on 2 (3.9%), and laparoscopy on 2 (3.9%). Complications developed in 23 (44%) patients and overall mortality was 19.6% (10/51). An ISS > 13 was found to be an independent prognostic factor for morbidity, whereas an RTS <= 11, age >= 48 years, and a major postoperative complication were independent prognostic factors for mortality. Conclusion. Establishing a preoperative diagnosis of DI is still problematic. Aggressive treatment and close monitoring of patients with an ISS > 13, an RTS <= 11, an age >= 48 years, or a postoperative complication may decrease morbidity and mortality.
dc.identifier.citationÖzgüç, H. vd. (2007). "Factors affecting mortality and morbidity after traumatic diaphragmatic injury". Surgery Today, 37(12), 1042-1046.
dc.identifier.endpage1046
dc.identifier.issn1436-2813
dc.identifier.issn0941-1291
dc.identifier.issue12
dc.identifier.pubmed18030563
dc.identifier.scopus2-s2.0-36448982127
dc.identifier.startpage1042
dc.identifier.urihttps://doi.org/10.1007/s00595-007-3545-1
dc.identifier.urihttps://link.springer.com/article/10.1007%2Fs00595-007-3545-1
dc.identifier.urihttp://hdl.handle.net/11452/28783
dc.identifier.volume37
dc.identifier.wos000251149100003
dc.indexed.scopusScopus
dc.indexed.wosSCIE
dc.language.isoen
dc.publisherSpringer
dc.relation.journalSurgery Today
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectDiaphragmatic injury
dc.subjectMortality
dc.subjectTrauma
dc.subjectRupture
dc.subjectExperience
dc.subjectPredictors
dc.subject.emtreeAdolescent
dc.subject.emtreeAdult
dc.subject.emtreePostoperative complication
dc.subject.emtreePreoperative evaluation
dc.subject.emtreeAged
dc.subject.emtreePenetrating trauma
dc.subject.emtreeArticle
dc.subject.emtreePatient monitoring
dc.subject.emtreeComputer assisted tomography
dc.subject.emtreeOrgan injury
dc.subject.emtreeBlunt trauma
dc.subject.emtreeDiaphragm injury
dc.subject.emtreeThorax radiography
dc.subject.emtreeControlled study
dc.subject.emtreeFemale
dc.subject.emtreeHospitalization
dc.subject.emtreeRisk factor
dc.subject.emtreeGlasgow coma scale
dc.subject.emtreeInjury severity
dc.subject.emtreeHuman
dc.subject.emtreeLaparotomy
dc.subject.emtreeMajor clinical study
dc.subject.emtreeIntensive care unit
dc.subject.emtreeLaparoscopy
dc.subject.emtreeMale
dc.subject.emtreeMorbidity
dc.subject.emtreeMortality
dc.subject.emtreePrognosis
dc.subject.emtreeTime series analysis
dc.subject.meshMorbidity
dc.subject.meshAbdominal injuries
dc.subject.meshAdolescent
dc.subject.meshAdult
dc.subject.meshAged
dc.subject.meshDiaphragm
dc.subject.meshFemale
dc.subject.meshHumans
dc.subject.meshLaparoscopy
dc.subject.meshMale
dc.subject.meshMiddle aged
dc.subject.meshRural population
dc.subject.meshMultiple trauma
dc.subject.meshRetrospective studies
dc.subject.meshRisk factors
dc.subject.meshUrban population
dc.subject.meshTurkey
dc.subject.meshSurvival rate
dc.subject.meshThoracic injuries
dc.subject.meshTomography, X-ray computed
dc.subject.meshWounds, nonpenetrating
dc.subject.meshWounds, penetrating
dc.subject.scopusTraumatic Diaphragmatic Hernia; Abdominal Injuries; Thoracic Cavity
dc.subject.wosSurgery
dc.titleFactors affecting mortality and morbidity after traumatic diaphragmatic injury
dc.typeArticle
dc.wos.quartileQ4
dc.wos.quartileQ4
dspace.entity.typePublication
local.contributor.departmentTıp Fakültesi/Genel Cerrahi Bilimler Bölümü
local.indexed.atPubMed
local.indexed.atWOS
local.indexed.atScopus

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