Predictors of outcome in trauma during pregnancy

Identification of patients who can be monitored for less than 6 hours

M. J. Curet, C. R. Schermer, G. B. Demarest, E. J. Bieneik, L. B. Curet, G. S. Rozycki, J. Acosta, K. Boffard, A. West

Research output: Contribution to journalArticle

67 Citations (Scopus)

Abstract

Background: The first objective of this study was to identify risk factors in pregnant patients suffering blunt trauma predictive for uterine contractions, preterm labor, or fetal loss. The second objective was to identify patients who can safely undergo fetal monitoring for 6 hours or less after blunt trauma by selecting out those patients demonstrating the identified risk factors. Methods: A retrospective chart review was performed from January 1, 1990, through December 31, 1998. Charts were reviewed for numerous possible risk factors for adverse outcomes. Statistical analysis was performed by using logistic regression. Results: A total of 271 pregnant patients admitted after blunt trauma were identified. Risk factors significantly predictive of fetal death included ejections, motorcycle and pedestrian collisions, maternal death, maternal tachycardia, abnormal fetal heart rate, lack of restraints, and Injury Severity Score > 9. Risk factors significantly predictive of contractions or preterm labor included gestational age >35 weeks, assaults, and pedestrian collisions. Conclusion: Pregnant patients who present after blunt trauma with any of the identified risk factors for contractions, preterm labor, or fetal loss should be monitored for at least 24 hours. Patients without these risk factors can safely be monitored for 6 hours after trauma before discharge.

Original languageEnglish (US)
Pages (from-to)18-25
Number of pages8
JournalJournal of Trauma - Injury, Infection and Critical Care
Volume49
Issue number1
StatePublished - 2000
Externally publishedYes

Fingerprint

Pregnancy
Wounds and Injuries
Premature Obstetric Labor
Motorcycles
Fetal Monitoring
Uterine Contraction
Maternal Death
Fetal Heart Rate
Injury Severity Score
Fetal Death
Tachycardia
Gestational Age
Logistic Models
Mothers
Pedestrians

Keywords

  • Adverse fetal outcome
  • Pregnancy
  • Trauma

ASJC Scopus subject areas

  • Surgery

Cite this

Curet, M. J., Schermer, C. R., Demarest, G. B., Bieneik, E. J., Curet, L. B., Rozycki, G. S., ... West, A. (2000). Predictors of outcome in trauma during pregnancy: Identification of patients who can be monitored for less than 6 hours. Journal of Trauma - Injury, Infection and Critical Care, 49(1), 18-25.

Predictors of outcome in trauma during pregnancy : Identification of patients who can be monitored for less than 6 hours. / Curet, M. J.; Schermer, C. R.; Demarest, G. B.; Bieneik, E. J.; Curet, L. B.; Rozycki, G. S.; Acosta, J.; Boffard, K.; West, A.

In: Journal of Trauma - Injury, Infection and Critical Care, Vol. 49, No. 1, 2000, p. 18-25.

Research output: Contribution to journalArticle

Curet, MJ, Schermer, CR, Demarest, GB, Bieneik, EJ, Curet, LB, Rozycki, GS, Acosta, J, Boffard, K & West, A 2000, 'Predictors of outcome in trauma during pregnancy: Identification of patients who can be monitored for less than 6 hours', Journal of Trauma - Injury, Infection and Critical Care, vol. 49, no. 1, pp. 18-25.
Curet, M. J. ; Schermer, C. R. ; Demarest, G. B. ; Bieneik, E. J. ; Curet, L. B. ; Rozycki, G. S. ; Acosta, J. ; Boffard, K. ; West, A. / Predictors of outcome in trauma during pregnancy : Identification of patients who can be monitored for less than 6 hours. In: Journal of Trauma - Injury, Infection and Critical Care. 2000 ; Vol. 49, No. 1. pp. 18-25.
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