Performance of three predictive scores to avoid delayed diagnosis of significant blunt bowel and mesenteric injury. A 12-year retrospective cohort study.

Fabio Agri, Basile Pache, Mylène Bourgeat, Vincent Darioli, Nicolas Demartines, Sabine Schmidt, Tobias Zingg
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Abstract

Avoiding missed diagnosis and therapeutic delay for significant blunt bowel and mesenteric injuries (sBBMI) after trauma is still challenging despite the widespread use of computed tomography. Several scoring tools aiming at reducing this risk have been published. The purpose of the present work was to assess the incidence of delayed (>24 h) diagnosis for sBBMI patients and to compare the predictive performance of three previously published scores using clinical, radiological and laboratory findings: the "Bowel Injury Prediction Score" (BIPS) and the scores developed by Raharimanantsoa (RS) and by Faget (FS).
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避免重大钝性肠道和肠系膜损伤延迟诊断的三个预测性评分。一项为期12年的回顾性队列研究。
尽管计算机断层扫描已得到广泛应用,但避免创伤后重大钝性肠道和肠系膜损伤(sBBMI)的漏诊和治疗延误仍是一项挑战。目前已发布了几种旨在降低这一风险的评分工具。本研究的目的是评估sBBMI患者延迟(24小时)诊断的发生率,并比较之前发表的三种使用临床、放射学和实验室检查结果的评分方法:"肠损伤预测评分"(BIPS)以及Raharimanantsoa(RS)和Faget(FS)开发的评分方法。
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