• Penetrating Injuries to the Duodenum: An Analysis of 879 Patients from the National Trauma Data Bank, 2010-2014 (November 2017)

    Category: Acute Care Surgery, Infection & Sepsis
    Bradley Phillips, MD, Lauren Turco, MD, Dan McDonald, MD, Alison Mause, and Ryan W. Walters, PhD
    CME 1 CME Credit(s)

    Learning Objectives:

    Our objectives in this study were threefold. First, we sought to characterize the national profile of penetrating duodenal injuries, including patient demographics, injury mechanism, associated injuries, procedures, and time to exploratory laparotomy. Our second objective was to identify predictors of mortality as well as morbidity based on length of ICU stay (ICU LOS), hospital stay (HLOS), and ventilator (vent) days. Our third aim was to validate the AAST-OIS grades for duodenal injuries as a statistically significant predictor of mortality.

    Impact Statement:

    This study is the first to describe penetrating duodenal injuries using the National Trauma Data Bank and the first to document AAST-OIS grade as a statistically significant predictor of mortality based on a national sample of patients in the United States.

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    This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint providership of the American College of Surgeons and the American Association for the Surgery of Trauma. The American College of Surgeons is accredited by the ACCME to provide continuing medical education (CME) for physicians.

    AMA PRA Category 1 Credits™

    The American College of Surgeons designates this journal-based activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    Of the AMA PRA Category 1 Credits™ listed above, a maximum of 1 credit meets the requirements for Self-Assessment.

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