Incidence of and factors associated with damage control laparotomy in adult patients undergoing emergency laparotomy following abdominal trauma: A retrospective cohort study from a UK Major trauma centre Article Swipe
Charlotte A Needham-Bennett
,
Zubair Ahmed
,
Justine J Lee
,
David N Naumann
,
Charlotte A Needham-Bennett
,
Zubair Ahmed
,
Justine J Lee
,
David N Naumann
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1177/14604086251396430
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1177/14604086251396430
Background Damage control laparotomy may be used to manage abdominal trauma. UK damage control laparotomy guidelines are limited and non-specific, suggesting its use may be attributed to a surgeon's experience rather than consistent parameters. This study aimed to determine the incidence of, and factors associated with, damage control laparotomy in adult patients undergoing emergency laparotomy following abdominal trauma, at a major trauma centre (MTC) in the UK. Methods A single-centre retrospective cohort study was undertaken, in which the UK Trauma Audit and Research Network (TARN) database was used to select eligible patients who suffered abdominal trauma and underwent an emergency laparotomy within 12 h of arrival to a MTC in the UK, between 01/01/2021 and 31/01/2023. The factors associated with management by damage control laparotomy compared to definitive laparotomy were reported and logistic regression analysis used to investigate associations between age, Glasgow Coma Scale (GCS), injury severity score (ISS), and shock index, metabolic acidosis and requirement for blood products with the outcomes of management by damage control laparotomy and subsequent mortality. Results Of the 63 patients eligible for this study, 21% (n = 13) underwent damage control laparotomy with a median age of 25, and 92% (n = 58) were male. The most common mechanism of injury in patients that underwent DCL were road traffic collisions (46%) and stabbings (46%) with mortality at 30 days of 23% (n = 3). Lower GCS and higher ISS were significantly associated with mortality. Conclusions A fifth of trauma patients with abdominal injuries had damage control surgery, and this associated with lower GCS. Lower GCS and higher ISS were associated with mortality, this may be due to the presence of systemic shock and critical illness, which are likely contribute to a higher physiological burden and poorer outcome.
Related Topics
Concepts
Medicine
Laparotomy
Damage control surgery
Retrospective cohort study
Incidence (geometry)
Damage control
Glasgow Coma Scale
Surgery
Major trauma
Abdominal trauma
Injury Severity Score
Cohort study
Shock (circulatory)
Emergency medicine
Cohort
Logistic regression
General surgery
Emergency department
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1177/14604086251396430
- OA Status
- hybrid
- References
- 18
- OpenAlex ID
- https://openalex.org/W7106620845
All OpenAlex metadata
Raw OpenAlex JSON
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- DOI
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https://doi.org/10.1177/14604086251396430Digital Object Identifier
- Title
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Incidence of and factors associated with damage control laparotomy in adult patients undergoing emergency laparotomy following abdominal trauma: A retrospective cohort study from a UK Major trauma centreWork title
- Type
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articleOpenAlex work type
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enPrimary language
- Publication year
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2025Year of publication
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2025-11-25Full publication date if available
- Authors
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Charlotte A Needham-Bennett, Zubair Ahmed, Justine J Lee, David N Naumann, Charlotte A Needham-Bennett, Zubair Ahmed, Justine J Lee, David N NaumannList of authors in order
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https://doi.org/10.1177/14604086251396430Publisher landing page
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YesWhether a free full text is available
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hybridOpen access status per OpenAlex
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https://doi.org/10.1177/14604086251396430Direct OA link when available
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Medicine, Laparotomy, Damage control surgery, Retrospective cohort study, Incidence (geometry), Damage control, Glasgow Coma Scale, Surgery, Major trauma, Abdominal trauma, Injury Severity Score, Cohort study, Shock (circulatory), Emergency medicine, Cohort, Logistic regression, General surgery, Emergency departmentTop concepts (fields/topics) attached by OpenAlex
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0Total citation count in OpenAlex
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