caa a22 4500 465772137 CHVBK 20180323111931.0 cr unu---uuuuu 170327e19900501xx s 000 0 eng 10.1007/BF00179660 doi (NATIONALLICENCE)springer-10.1007/BF00179660 Factors affecting survival of children after abdominal trauma in Lebanese civil war [Elektronische Daten] [Michel Slim, Charles Her, Samir Akel, Omar Dajani, Hani Hajj, Anis Baraka] To evaluate the risk factors affecting the survival of children with war injuries involving the abdomen, 270 children under 16 years of age with abdominal injuries during the civil war in Lebanon were studied. One hundred and ninety (70%) sustained penetrating injuries and 80 (30%) blunt trauma. The overall infection rate was 7.8%. There were 13 deaths (4.8%), 7 early and 6 late. Mortality was higher in patients with shock on admission than in those without shock (P = .009). Multiple logistic-regression analysis showed that inadequate initial treatment requiring a second laparotomy (P = .01), severe hypovolemia requiring large blood transfusions (P = .0001), and multiple intra-abdominal injuries (P = .001) were the three independent risk factors that influenced the outcome of treatment. Wound infection was associated with a higher mortality in patients with penetrating injuries (P = .0001). This study suggests that in children with war injuries involving the abdomen, multiple injuries associated with excessive bleeding led to early death and wound infection in penetrating injuries to late death. Springer-Verlag, 1990 Trauma: war-related nationallicence Trauma: abdominal nationallicence Trauma: pediatric nationallicence Wound: war-related nationallicence Wound: abdominal, penetrating or blunt nationallicence Slim Michel Departments of Surgery and Anesthesiology, New York Medical College, Munger Pavilion, 10595, Valhalla, NY, USA aut Her Charles Departments of Surgery and Anesthesiology, New York Medical College, Munger Pavilion, 10595, Valhalla, NY, USA aut Akel Samir Departments of Surgery and Anethesiology, American University of Beirut Medical Center, Beirut, Lebanon aut Dajani Omar Departments of Surgery and Anethesiology, American University of Beirut Medical Center, Beirut, Lebanon aut Hajj Hani Departments of Surgery and Anethesiology, American University of Beirut Medical Center, Beirut, Lebanon aut Baraka Anis Departments of Surgery and Anethesiology, American University of Beirut Medical Center, Beirut, Lebanon aut Pediatric Surgery International Springer-Verlag 5/3(1990-05-01), 188-191 0179-0358 5:3<188 1990 5 383 https://doi.org/10.1007/BF00179660 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF00179660 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Slim Michel Departments of Surgery and Anesthesiology, New York Medical College, Munger Pavilion, 10595, Valhalla, NY, USA aut NATIONALLICENCE 700 1- Her Charles Departments of Surgery and Anesthesiology, New York Medical College, Munger Pavilion, 10595, Valhalla, NY, USA aut NATIONALLICENCE 700 1- Akel Samir Departments of Surgery and Anethesiology, American University of Beirut Medical Center, Beirut, Lebanon aut NATIONALLICENCE 700 1- Dajani Omar Departments of Surgery and Anethesiology, American University of Beirut Medical Center, Beirut, Lebanon aut NATIONALLICENCE 700 1- Hajj Hani Departments of Surgery and Anethesiology, American University of Beirut Medical Center, Beirut, Lebanon aut NATIONALLICENCE 700 1- Baraka Anis Departments of Surgery and Anethesiology, American University of Beirut Medical Center, Beirut, Lebanon aut NATIONALLICENCE 773 0- Pediatric Surgery International Springer-Verlag 5/3(1990-05-01), 188-191 0179-0358 5:3<188 1990 5 383 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer