Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/12846
Title: Liver trauma in a major peripheral hospital: analysis of management and mortality in 74 patients.
Authors: MacLellan, D G;Cook, D J;McKay, J R
Affiliation: Department of Surgery, University of Melbourne, Austin Hospital, Heidelberg, Vic., Australia.
Issue Date: 1-Nov-1989
Citation: Australian and New Zealand Journal of Surgery; 59(11): 859-63
Abstract: The management of liver trauma has improved considerably over the past 2 decades. However, much of the evidence for this improvement has emanated from major trauma centres. Little information is available from peripheral hospitals which deal with much of the trauma seen in Australia. This study set out to examine the management of liver trauma in Box Hill Hospital over the past 2 decades; 74 patients were treated for liver trauma during 1967-86, and the factors considered contributory to mortality rate were analysed. The overall mortality rate was 33.8%, but each 5-year period saw a reduction in mortality rate (25% in the 1982-86 period). The patient's age, associated injuries, transfusion requirements, degree of liver injury and postoperative haemorrhage all contributed to a higher mortality rate. This study indicated that management of liver trauma in a peripheral hospital results in mortality rates that are comparable with major trauma centres. Moreover, by highlighting treatment deficiencies through self-audit, improved treatment protocols should further enhance survival prospects.
Internal ID Number: 2818345
URI: http://ahro.austin.org.au/austinjspui/handle/1/12846
URL: http://www.ncbi.nlm.nih.gov/pubmed/2818345
Type: Journal Article
Subjects: Adolescent
Adult
Aged
Aged, 80 and over
Child
Child, Preschool
Female
Hemorrhage.therapy
Hospitals.standards
Humans
Infant
Infant, Newborn
Liver.injuries
Male
Middle Aged
Multiple Trauma.therapy
Outcome and Process Assessment (Health Care)
Postoperative Complications
Retrospective Studies
Victoria.epidemiology
Wounds, Nonpenetrating.complications.mortality.therapy
Appears in Collections:Journal articles

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