OBJECTIVE: This study was undertaken to examine both isolated and concomitant @entity99 to clarify the role of liver @entity130 on outcome. @entity1 AND METHODS: This retrospective study was a review of all @entity1661 @entity1 who presented with @entity99 , with or without concomitant injury at Ege University School of Medicine over a 3-year period. Presentation, injury grade, management, and outcomes were analyzed. @entity1 with isolated @entity99 (Group A) were compared with @entity1 who had concomitant @entity99 (liver and spleen/small bowel) (Group B). Significance was set at 95% confidence intervals. RESULTS: Of 368 @entity1 , 80 (21%) presented with @entity99 . Of these, the aetiology was as follows: 53 (66.2%) @entity1913 , 19 (23%) penetrating injury, and 8 (10%) gun shot @entity130 . There were 38 @entity1 in Group A and 42 in Group B. Of these 42 @entity1 , 19 were diagnosed with serious @entity130 ; eight thoracic, three open long bone @entity174 , one intra-cardiac, one intracranial. Six additional @entity1 were observed with injuries to large abdominal vessels. Eleven @entity1 (28.9%) with isolated @entity99 were managed non-operatively. Mortality, intensive care unit and hospital length of stay, and transfusion requirements were significantly higher in Group B. Only the number of transfused blood units and the grade of @entity99 were found to be effective on outcome whereas stepwise regression analysis revealed that @entity130 (penetrating) and blood transfusion were predictive for mortality. CONCLUSION: This study highlighted that although isolated @entity99 results in good outcome with non-operative management, concomitant injuries to the liver lead to a higher failure and mortality rate. However, @entity99 itself is rarely responsible for @entity204 .

Comparison of isolated and concomitant @entity99 : is XXXX entirely responsible for the outcome?

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'PATIENTS'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fracture'] @entity1661 :: ('MESH:D000008', 'Disease') :: ['abdominal trauma'] @entity1913 :: ('MESH:D014949', 'Disease') :: ['blunt injury'] @entity99 :: ('MESH:D056486', 'Disease') :: ['liver injuries', 'hepatic injury', 'liver injury'] @entity204 :: ('MESH:D003643', 'Disease') :: ['death'] @entity130 :: ('MESH:D014947', 'Disease') :: ['types of injury', 'trauma', 'injury type']
@entity99 :: (MESH:D056486,Disease) :: ['hepatic trauma']
