Risk factors for late death of patients with abdominal trauma after damage control laparotomy for hemostasis

Table 3 Early clinical parameters and organ support system application in ICU

	Survival (mean ± SD, n = 39)	Late death (mean ± SD, n = 11)	p
APACHI II	14.8 ± 1.33	22.4 ± 3.19	0.000
Best GCS > = 8 (Y/N)	37/2	6/5	0.004
Inotropic agent use (Y/N)	7/32	11/0	0.000
Best PaO₂ (mmHg)	68.8 ± 6.77	76.4 ± 9.33	n.s.
Lowest FiO₂ (%)	240 ± 42.5	251 ± 112	n.s.
WBC (10³/dl)	13.3k ± 5.66k	7.29k ± 5.57k	0.020
Hb (g/dl)	11.4 ± 0.32	11.0 ± 1.63	n.s.
PLT (10³/dl)	88.6k ± 17.7k	94.4k ± 36.8k	n.s.
INR	1.47 ± 0.89	1.81 ± 0.33	0.016
Na (meq/l)	143 ± 7.41	151 ± 2.89	n.s.
K (meq/l)	3.76 ± 0.29	3.83 ± 0.53	n.s.
Cr (mg/dl)	1.27 ± 0.44	1.10 ± 0.27	n.s.
Total bilirubin (mg/dl)	1.44 ± 0.46	1.27 ± 0.47	n.s.
Hemodialysis (Y/N)	2/37	4/7	0.017
ECMO use (Y/N)	0/39	2/9	0.045
DCL wound open care (Y/N)	21/18	7/4	n.s.
Duration of laparotomy wound opened (days)	2.03 ± 2.91	1.11 ± 1.70	n.s
Accumulated blood Transfusion (U)	19.6 ± 4.16	32.9 ± 10.9	0.014

SD, Standard deviation; APACHI II, Acute physiology and chronic health evaluation II; GCS, Glasgow Coma Scale; PaO2, Arterial oxygen tension; FiO2, Fraction of inspiration oxygen; WBC, White cell count; Hb, Hemoglobin; PLT, Platelet; INR, International normalized ratio, for prothrombin time; ECMO, Extracorporeal membrane oxygenation; DCL, Damage control laparotomy.

ISSN: 1749-7922