Details

Autor(en) / Beteiligte

• Grimsley, Emily A.
• Lippincott, Michelle
• Read, Meagan D.
• Lorch, Steven
• Farach, Sandra M.
• Kuo, Paul C.
• Diaz, Jose J.

Titel

Cirrhosis Increases the Rate of Failure of Nonoperative Management in Blunt Liver Injuries

Ist Teil von

• The American surgeon, 2024-03, Vol.90 (7), p.1875-1878

Ort / Verlag

Los Angeles, CA: SAGE Publications

Erscheinungsjahr

2024

Quelle

Alma/SFX Local Collection

Beschreibungen/Notizen

• Pre-existing cirrhosis is associated with increased mortality in blunt liver injury. Despite widespread use of nonoperative management (NOM) for blunt liver injury, there is a relative paucity of data regarding how pre-existing cirrhosis impacts the success of NOM. Herein, we perform a retrospective cohort study using ACS TQIP 2017-2020 data to assess the relationship between cirrhosis and failure of NOM for adult patients with blunt liver injury. 37,176 patients were included (342 cirrhosis and 36,834 without cirrhosis). After propensity-score matching, patients with pre-existing cirrhosis had higher rates of failure of NOM (32.2 vs 14.1%, p < 0.01) and in-hospital mortality (36.3 vs 10.8%, p < 0.01) than patients without cirrhosis. Hesitancy to operate on patients with pre-existing cirrhosis and trauma, as well as significant underlying coagulopathy, may explain these findings.