| Factors influencing pregnancy outcome after trauma. | |
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MedLine Citation:
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PMID: 1524327 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Trauma complicating pregnancy represents a significant threat to maternal survival and successful pregnancy outcome. Combining trauma center and perinatal center capabilities may provide improved outcome for pregnant trauma victims. The authors report their experience with 39 patients over a 10-year period to identify factors that influenced pregnancy outcome. There was 100 per cent maternal survival with a 77 per cent successful pregnancy rate. Unsuccessful pregnancy was associated with significantly higher injury severity score (ISS); regional abdominal abbreviated injury scores (AIS) and hospital charges; longer hospital and intensive care unit lengths of stay; a higher incidence of intubation and placenta abruptio; and a lower admission systolic blood pressure. Fetal ultrasound or Doppler were routinely used and contributed to trauma management. These findings support close cooperation and coordination of trauma and perinatal services to achieve optimal maternal and pregnancy outcomes. |
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Authors:
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E R George; T Vanderkwaak; D J Scholten |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: The American surgeon Volume: 58 ISSN: 0003-1348 ISO Abbreviation: Am Surg Publication Date: 1992 Sep |
Date Detail:
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Created Date: 1992-10-15 Completed Date: 1992-10-15 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0370522 Medline TA: Am Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 594-8; discussion 598 Citation Subset: IM |
Affiliation:
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Department of Surgery, Michigan State University, Grand Rapids. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Abbreviated Injury Scale Evaluation Studies as Topic Female Health Services Research Humans Injury Severity Score Interinstitutional Relations* Length of Stay / statistics & numerical data Maternal Mortality Michigan / epidemiology Multiple Trauma / diagnosis, epidemiology*, therapy Outcome Assessment (Health Care) Perinatology / organization & administration* Pregnancy Pregnancy Complications / diagnosis, epidemiology*, therapy Pregnancy Outcome* Registries Risk Factors Trauma Centers / organization & administration* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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