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The goal of this observational study is to compare the presentation, treatment, and outcomes in patients suffering traumatic pancreatic injuries from blunt or penetrating trauma.
The questions this study aims to answer are:
Does a statistically significant association exist between pancreatic injury grade and the following individual factors:
Is there an association between post-operative pancreatic complications and operation-specific intervention?
Does pancreatic injury score correlate with certain intra-abdominal organ injuries?
Participants meeting criteria are greater than 18 years old, with no history of pancreatic surgery who were hospitalized at Kern Medical Center after presenting to the institution's emergency department as tier 1 or 2 trauma activations following blunt or penetrating abdominal injury and were diagnosed with pancreatic injury during the same hospitalization.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Penetrating intra-abdominal injury | Patients diagnosed with a pancreatic injury secondary to penetrating intra-abdominal injury subdivided by pancreatic injury grade |
| |
| Blunt intra-abdominal injury | Patients diagnosed with a pancreatic injury secondary to blunt intra-abdominal injury subdivided by pancreatic injury grade |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Exploratory laparotomy | Procedure | Exploratory laparotomy with interventions addressing pancreatic injuries Grade 1-5 including pancreatic interventions including subtotal pancreatectomy, distal pancreatectomy, pancreatic ligation, pyloric diversion, or simple drainage of the pancreas. |
| Measure | Description | Time Frame |
|---|---|---|
| Complication occurrence | Complications including wound dehiscence, pancreatic duct leak, pancreatic pseudocyst, pancreatic fistula formation, pancreatic necrosis, intra-abdominal abscess, traumatic pancreatitis, anastomotic leak | Up to 12 weeks postoperatively |
| Measure | Description | Time Frame |
|---|---|---|
| Associated intra-abdominal injuries | concomitant intra-abdominal injuries including pancreatic duck, diaphragm, stomach, liver, kidney, Major vasculature, spleen, duodenum, small bowel, colon, ureter | within 48 hours of admission |
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Inclusion Criteria:
Exclusion Criteria:
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Patient's greater than 18 years old, with no history of pancreatic surgery who were hospitalized at Kern Medical Center from November 1st, 2019 to March 1st, 2023 after presenting to the institution's emergency department as tier 1 and 2 trauma activations following blunt or penetrating abdominal injury and were diagnosed with pancreatic injury during the same hospitalization.
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| Name | Affiliation | Role |
|---|---|---|
| Amber Jones, DO, MPH | Kern Medical Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kern Medical Center | Bakersfield | California | 93306 | United States |
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| ID | Term |
|---|---|
| D019283 | Pancreatitis, Acute Necrotizing |
| D010181 | Pancreatic Cyst |
| D010185 | Pancreatic Fistula |
| D018784 | Abdominal Abscess |
| D057868 | Anastomotic Leak |
| D000007 | Abdominal Injuries |
| ID | Term |
|---|---|
| D010195 | Pancreatitis |
| D010182 | Pancreatic Diseases |
| D004066 | Digestive System Diseases |
| D003560 | Cysts |
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| ID | Term |
|---|---|
| D007813 | Laparotomy |
| ID | Term |
|---|---|
| D013514 | Surgical Procedures, Operative |
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|
| D009369 |
| Neoplasms |
| D016154 | Digestive System Fistula |
| D005402 | Fistula |
| D020763 | Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D000038 | Abscess |
| D013492 | Suppuration |
| D007239 | Infections |
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D014947 | Wounds and Injuries |