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Review of Liver Trauma Management in Tasmania: An Analysis of Risk Factors for Mortality and Morbidity


Subramaniam, P and Parker, S and Lim, SL and Wilkinson, G and Sinha, SN, Review of Liver Trauma Management in Tasmania: An Analysis of Risk Factors for Mortality and Morbidity, Australian and New Zealand Journal of Surgery, 65, (12) pp. 861-864. ISSN 0004-8682 (1995) [Refereed Article]

DOI: doi:10.1111/j.1445-2197.1995.tb00577.x


A review of liver trauma treated by the major trauma care facilities of Tasmania in the 5 year period between 1989 and 1993 is presented. The aim of this retrospective review was to provide an audit of the management of liver trauma in the island of Tasmania and to analyse the risk factors contributing to mortality and major morbidity. Thirty‚Äźseven patients were treated with a median Injury Severity Score (ISS) of 14 (range 9‚Ä"34). The overall mortality rate of this series was 5.8%. Age, mechanism of injury (blunt or penetrating), delay prior to hospital presentation and modality of treatment (operative or non‚Äźoperative) were not significant risk factors for mortality and morbidity; however, transfusion requirement of over 10 units of blood (P < 0.005), ISS score of over 20 (P < 0.005). haemodynamic instability at presentation (P < 0.05) and a Hepatic Injury Score (HIS) grade of 3 or more (P < 0.05) were statistically significant risk factors. Copyright ¬© 1995, Wiley Blackwell. All rights reserved

Item Details

Item Type:Refereed Article
Research Division:Biomedical and Clinical Sciences
Research Group:Clinical sciences
Research Field:Surgery
Objective Division:Health
Objective Group:Other health
Objective Field:Other health not elsewhere classified
UTAS Author:Subramaniam, P ( Subramaniam)
UTAS Author:Parker, S (Dr Serena Parker)
UTAS Author:Lim, SL ( Lim)
UTAS Author:Wilkinson, G (Dr Gillian Wilkinson)
UTAS Author:Sinha, SN (Professor Sankar Sinha)
ID Code:7984
Year Published:1995
Web of Science® Times Cited:1
Deposited By:Surgery
Deposited On:1996-08-01
Last Modified:2011-08-25

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