Table 1 Clinical and injury profiles of BBMI patients categorized by alcohol consumption group
From: Effect of acute alcohol consumption on blunt bowel mesenteric injury: a retrospective analysis
|  | Overall (N = 142) | BAC (+) (n = 26) | BAC (-) (n = 116) | P value |
|---|---|---|---|---|
Age | 44.5 (30–58) | 43 (32–52) | 46.5 (28.5–63) | 0.289 |
Male sex | 116 (81.7%) | 26 (100%) | 90 (77.6%) | 0.040 |
ISS (injury severity score) | 16 (9–25) | 20 (9–24) | 16 (9–25) | 0.376 |
ISS ≥ 16 | 79 (55.6%) | 17 (65.4%) | 62 (53.4%) | 0.268 |
ISS ≥ 25 | 36 (25.4%) | 6 (23.1%) | 30 (25.9%) | 0.768 |
NISS (new ISS) | 19 (9–27) | 21.5 (9–29) | 18 (9–27) | 0.688 |
TRISS (trauma resuscitation ISS) | 0.97 (0.934–0.99) | 0.98 (0.955–0.988) | 0.97 (0.923–0.991) | 0.509 |
RTS (revised trauma score) | 7.84 (7.108–7.84) | 7.84 (6.904–7.84) | 7.84 (7.108–7.84) | 0.597 |
ED vital sign | Â | Â | Â | Â |
Temperature | 36.3 (36.0-36.9) | 36.0 (36.0-36.2) | 36.5 (36.1–37.0) | 0.001 |
SBP (mm/Hg) | 117.5 (91–134) | 99 (86–118) | 119 (93-136.5) | 0.046 |
HR (/min) | 97.5 (80–117) | 101 (87–121) | 97 (79.5-115.5) | 0.219 |
HR > 90/min | 84 (59.2%) | 18 (69.2%) | 65 (56.9%) | 0.248 |
RR (/min) | 20 (18–20) | 20 (19–21) | 20 (18–20) | 0.122 |
GCS | 15 (15–15) | 15 (14–15) | 15 (15–15) | 0.463 |
SIRS score | 1 (1–2) | 2 (1–2) | 1 (1–2) | 0.936 |
SIRS ≥ 2 | 68 (47.9%) | 14 (53.8%) | 54 (46.6%) | 0.501 |
Shock index (bpm/mmHg) | 0.85 (0.65–1.1) | 0.96 (0.74–1.44) | 0.82 (0.63–1.05) | 0.048 |
Mechanism | Â | Â | Â | Â |
Motorcycle (%) | 73 (51.4%) | 9 (34.6%) | 64 (55.2%) | 0.045 |
Car (%) | 39 (27.5%) | 13 (50%) | 26 (22.4%) | |
Fall (%) | 3 (2.1%) | 0 (0%) | 3 (2.6%) | |
High fall (%) | 5 (3.5%) | 0 (0%) | 5 (4.3%) | |
Pedestrian (%) | 6 (4.2%) | 2 (7.7%) | 4 (3.4%) | |
Assault (%) | 5 (3.5%) | 2 (7.7%) | 3 (2.6%) | |
Bicycle (%) | 6 (4.2%) | 0 (0%) | 6 (5.2%) | |
Impact (%) | 5 (3.5%) | 0 (0%) | 5 (4.3%) | |
Clinical presentation | Â | Â | Â | Â |
ED WBC (cells/mm3) | 10,900 (8600–16,300) | 9700 (8000–12,300) | 11,600 (8600–16,450) | 0.165 |
ED WBC ≥ 12,000 | 63 (44.4%) | 7 (26.9%) | 56 (48.3%) | 0.048 |
ED WBC ≥ 12,000 or ≤ 4000 | 66 (46.5%) | 7 (26.9%) | 59 (50.9%) | 0.027 |
ED hemoglobin (g/dL) | 12.6 (10.7–14.2) | 13.6 (11.6–15) | 12.5 (10.6–13.9) | 0.092 |
ED Intubation (%) | 28 (19.7%) | 3 (11.5%) | 25 (21.6%) | 0.246 |
Chest tube (%) | 29 (20.4%) | 3 (11.5%) | 26 (22.4%) | 0.214 |
Shock before OR (%) | 62 (43.7%) | 13 (50%) | 49 (42.2%) | 0.471 |
Operative finding | Â | Â | Â | Â |
Isolated bowel injury (%) | 40 (28.2%) | 7 (26.9%) | 33 (28.4%) | 0.876 |
Isolated colon injury (%) | 16 (11.3%) | 3 (11.5%) | 13 (11.2%) | 1.000 |
Isolated mesentery injury (%) | 40 (28.2%) | 6 (23.1%) | 34 (29.3%) | 0.523 |
Combined injury (%) | 47 (33.1%) | 11 (42.3%) | 36 (31%) | 0.270 |
OP blood loss (ml) | 500 (100–2000) | 700 (100–2000) | 500 (100–1900) | 0.729 |
Blood transfusion | Â | Â | Â | Â |
B/T at ED (%) | 76 (53.5%) | 9 (34.6%) | 67 (57.8%) | 0.032 |
ED Pack RBC (U) | 2 (0–4) | 0 (0–2) | 2 (0–4) | 0.031 |
ED FFP (U) | 0 (0–2) | 0 (0–0) | 0 (0-2.5) | 0.148 |
24 h Pack RBC (U) | 4 (0–12) | 4 (0–12) | 4 (0-11.5) | 0.629 |
24 h FFP (U) | 2 (0–8) | 4 (0–6) | 2 (0–8) | 0.725 |
Massive transfusion (%) | 43 (30.3%) | 8 (30.8%) | 35 (30.2%) | 0.952 |
OR Pack RBC (U) | 2 (0–6) | 1 (0–8) | 2 (0–6) | 0.942 |
OR FFP (U) | 0 (0–4) | 3 (0–4) | 0 (0–4) | 0.374 |
Ward pack RBC (U) | 0 (0–4) | 1 (0–7) | 0 (0–2) | 0.070 |
Ward FFP (U) | 0 (0–6) | 2 (0–11) | 0 (0–4) | 0.017 |
Outcome | Â | Â | Â | Â |
Morbidity (%) | 94 (66.2%) | 21 (80.8%) | 73 (62.9%) | 0.082 |
Mortality (%) | 18 (12.7%) | 5 (19.2%) | 13 (11.2%) | 0.325 |
24Â h mortality (%) | 6 (4.2%) | 0 (0%) | 6 (5.2%) | 0.592 |
Bowel related mortality (%) | 5 (3.5%) | 3 (11.5%) | 2 (1.7%) | 0.043 |
Exsanguination mortality (%) | 9 (6.3%) | 2 (7.7%) | 7 (6%) | 0.669 |
ICU length of stay (day) | 3 (2–7) | 4 (2–10) | 3 (1.5-7) | 0.167 |
Hospitalization LOS (day) | 17 (11–32) | 22 (15–40) | 16 (10–31) | 0.141 |