Avoiding delayed diagnosis of significant blunt bowel and mesenteric injuries: Can a scoring tool make the difference? A 7-year retrospective cohort study.

Fiche publication

Date publication

septembre 2017

Journal

Injury

Auteurs

Membres identifiés du Cancéropôle Est :
Dr ROMAIN Benoit

Tous les auteurs :
Zingg T, Agri F, Bourgeat M, Yersin B, Romain B, Schmidt S, Keller N, Demartines N

Lien Pubmed

https://www.ncbi.nlm.nih.gov/pubmed/28899564

Résumé

Significant blunt bowel and mesenteric injuries (sBBMI) are frequently missed despite the widespread use of computed tomography (CT). Early treatment improves the outcome related to these injuries. The aim of this study was to assess the prevalence of sBBMI, the incidence of delayed diagnosis and to test the performance of the Bowel Injury Prediction Score (BIPS), determined by the white blood cell (WBC) count, presence or absence of abdominal tenderness and CT grade of mesenteric injury.