Department of General Surgery, Bagcilar Training and Research Hospital, İstanbul-Türkiye.
Ulus Travma Acil Cerrahi Derg. 2024 Jan;30(1):50-59. doi: 10.14744/tjtes.2023.26852.
We aimed to reveal the protective effect of body mass index (BMI) and subcutaneous adipose tissue thickness (SATT), together with scores covering the abdomen, in patients with penetrating abdominal trauma.
The data of 234 abdominal penetrating trauma patients over the age of 16 who applied to the emergency general sur-gery unit of Istanbul Medipol Hospital between 2017 and 2021 were analyzed retrospectively. Sex, age, types of penetrating injuries, BMI, need for blood transfusion and intensive care unit (ICU), mortality, Injury Severity Score (ISS), Penetrating Abdominal Trauma Index (PATI), and Flint Colon Injury Score (FCIS) were recorded.
The patients were divided into two groups: Gunshot Wound (GW) and Stab Wound (SW).While there was no significant difference in all parameters examined in all patients and GW patients in terms of BMI, a statistically significant difference was found in terms of blood transfusion need in SW patients (p=0.035). As a result of the Receiver Operating Characteristic curve analysis for the SATT variable, the cutoff value between mortality (p=0.866) and SATT (mm) values in all patients was 11 mm for all patients and 12 mm for GW patients. A significant difference was found in all patients and separately in GW and SW groups in terms of ICU and blood transfusion need, length of stay, ISS, PATI, and FCIS scores in non-operated patients (p<0.05). When all patients were examined, a statistically significant difference was found in terms of mortality (p=0.002).
It is the first study to evaluate penetrating abdominal injuries with both BMI and SATT comprehensively and with all abdominal scores. A cutoff value to be determined for SATT with larger and multicenter studies can take its place as a parameter in the penetrating trauma algorithm.
本研究旨在揭示体重指数（BMI）和皮下脂肪组织厚度（SATT）与涵盖腹部的评分联合对穿透性腹部创伤患者的保护作用。
回顾性分析 2017 年至 2021 年期间在伊斯坦布尔 Medipol 医院急诊普外科就诊的 234 例年龄超过 16 岁的穿透性腹部创伤患者的数据。记录性别、年龄、穿透性损伤类型、BMI、是否需要输血和入住重症监护病房（ICU）、死亡率、损伤严重程度评分（ISS）、穿透性腹部创伤指数（PATI）和 Flint 结肠损伤评分（FCIS）。
患者分为枪伤（GW）和刺伤（SW）两组。在所有患者和 GW 患者中，BMI 各参数均无显著差异，但 SW 患者输血需求存在统计学差异（p=0.035）。SATT 变量的受试者工作特征曲线分析结果显示，所有患者和 GW 患者的死亡率（p=0.866）和 SATT（mm）值的截断值分别为 11mm 和 12mm。所有患者和 GW 组和 SW 组中，未手术患者的 ICU 和输血需求、住院时间、ISS、PATI 和 FCIS 评分均存在显著差异（p<0.05）。当所有患者都被检查时，在死亡率方面存在统计学差异（p=0.002）。
这是第一项综合使用 BMI 和 SATT 以及所有腹部评分评估穿透性腹部损伤的研究。通过更大规模和多中心的研究确定 SATT 的截断值，可以将其作为穿透性创伤算法中的一个参数。
