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Early surgical intervention for blunt bowel injury: The Bowel Injury Prediction Score (BIPS).


AUTHORS

McNutt MK , Chinapuvvula NR , Beckmann NM , Camp EA , Pommerening MJ , Laney RW , West OC , Gill BS , Kozar RA , Cotton BA , Wade CE , Adams PR , Holcomb JB , . The journal of trauma and acute care surgery. 2015 1 1; 78(1). 105-11

ABSTRACT

Computed tomography (CT) scan of the abdomen has been used for 30 years to evaluate the stable blunt trauma patient. However, the early diagnosis of blunt hollow viscus injury (BHVI) remains a challenge. Delayed diagnosis and intervention of BHVI lead to significant morbidity and mortality. This study aimed to identify a combination of radiographic and clinical variables present at admission that could lead to earlier surgical intervention for BHVI.


Computed tomography (CT) scan of the abdomen has been used for 30 years to evaluate the stable blunt trauma patient. However, the early diagnosis of blunt hollow viscus injury (BHVI) remains a challenge. Delayed diagnosis and intervention of BHVI lead to significant morbidity and mortality. This study aimed to identify a combination of radiographic and clinical variables present at admission that could lead to earlier surgical intervention for BHVI.


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