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.
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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