A Contemporary Analysis of Delayed Diagnoses After Traumatic Injury : The Role of Operative Therapy. Am Surg 2021 Mar;87(3):384-389
Date
10/01/2020Pubmed ID
32993352DOI
10.1177/0003134820951458Scopus ID
2-s2.0-85104160616 (requires institutional sign-in at Scopus site)Abstract
BACKGROUND: Factors associated with delayed injury diagnosis (DID) have been examined, but incompletely researched.
METHODS: We evaluated demographics, mechanism, and measures of mental status and injury severity among 10 years' worth of adult trauma patients at our center for association with DID in a multivariable regression model. Descriptions of DID injuries were reviewed to highlight characteristics of these injuries.
RESULTS: We included 13 509 patients, 89 (0.7%) of whom had a recognized DID. In regression analysis, ISS (OR 1.04 per point, 95% CI 1.02-1.06) and number of injuries (OR 1.08 per injury, 95% CI 1.04-1.11) were associated with DID. Operative patients had twice the odds of DID (OR 2.02, 95% CI 1.18-3.44). The most common category of DID was orthopedic extremity injury (22/89).
CONCLUSION: DID is associated with injury severity and operative intervention. This suggests that the presence of an injury requiring operation may distract the trauma team from additional injuries.
Author List
Hatchimonji JS, Sharoky CE, Kaufman EJ, Ma LW, Garcia Whitlock AE, Smith BP, Holena DNAuthor
Daniel N. Holena MD Professor in the Surgery department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdolescentAdult
Aged
Aged, 80 and over
Delayed Diagnosis
Female
Humans
Male
Middle Aged
Quality Assurance, Health Care
Retrospective Studies
Trauma Severity Indices
Wounds and Injuries
Young Adult
