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Table 1 Characteristics of the 41 studies included in the systematic review

From: Outcomes of selective nonoperative management of civilian abdominal gunshot wounds: a systematic review and meta-analysis

Study (setting, year)

Temporality

Study period

Trauma center level of care

No. of abdo GSWs

No. abdo GSWs treated with SNOM

Mean age (years)

Mean ISS

Reported SNOM characteristics

Frequency of physical exam

Serial examination done by

Serial laboratory examination

Use of CT

Reed et al. [65] (USA, 2017)

Retrospective

2003–2014

NR

127

63

26

17

NR

NR

NR

Selective

Peponis et al. [35] (USA, 2017)

Retrospective

1996–2015

I and II

922

215

NR

NR

Serial

Trauma team

NR

Selective

Starling et al. [59] (Brazil, 2015)

Prospective

2005–2014

NR

169

28

27.7

10.9

NR

NR

Yes

Mandatory

Navsaria et al. [45] (SA, 2015)

Prospective

2004–2009

I

1106

272

27.9

NR

Serial

NR

Yes

Selective

Laing et al. [30] (SA, 2014)

Retrospective

2012–2013

NR

80

15

28

NR

4-hourly for 12–24 h

Surgical trainee

NR

Mandatory

Cesar et al. [61] (Brazil, 2013)

Prospective

2005–2012

NR

NR

37

24

16

NR

NR

NR

Mandatory

Inaba et al. [46] (USA, 2012)

Prospective

2009–2011

NR

270

91

26.3

7.9

Serial

Trauma surgeon

Yes

Mandatory

Starling et al. [40] (Brazil, 2012)

Prospective

2005–2011

NR

NR

115

25.8

14.8

Short time intervals

NR

Yes

Mandatory

Zafar et al. [62] (USA, 2012)

Retrospective

2003–2008

I and II

12,707

3564

30

NR

NR

NR

NR

Selective

Hope et al. [63] (USA, 2012)

Retrospective

2006–2008

II

39

6

NR

NR

NR

NR

NR

Mandatory

Mnguni et al. [36] (SA, 2012)

Prospective

1998–2204

I

240

13

28.6

12.2

Serial

NR

NR

Selective

Schnüriger et al. [66] (USA, 2011)

Retrospective

2005–2007

I

125

11

28.1

22.5

NR

NR

NR

Mandatory

Fikry et al. [31] (USA, 2011)

Retrospective

1999–2009

I

125

38

25

14

NR

NR

NR

Selective

Bjurlin et al. [32] (USA, 2011)

Retrospective

2003–2008

NR

79

25

NR

NR

NR

NR

NR

Selective

Navsaria and Nicol [33] (SA, 2009)

Prospective

2004–2008

I

95

33

22.8

10.5

Serial for 48 h

NR

4-hourly hemoglobin level

Mandatory

Voelzke and McAninch [37] (USA, 2009)

Retrospective

1978–2008

I

201

51

27.8

NR

NR

NR

NR

Selective

Navsaria et al. [47] (SA, 2009)

Prospective

2004–2008

I

195

63

27.2

19.6

Serial for 48 h

NR

4-hourly hemoglobin level

Mandatory

Schmelzer et al. [64] (USA, 2008)

Prospective

NR

I

65

19

NR

NR

NR

NR

NR

Selective

Chamisa [48] (SA, 2008)

Prospective

Jan–Jun, 2008

NR

78

19

NR

NR

2-hourly interval

NR

NR

Selective

DuBose et al. [60] (USA, 2007)

Retrospective

1999–2005

I

644

144

28

15

NR

NR

Yes

Mandatory

MacLeod et al. [44] (USA, 2007)

Retrospective

1995–2003

I

896

396

27.8

16

Serial

NR

Yes

Selective

Demetriades et al. [38] (USA, 2006)

Prospective

2004–2006

I

107

39

NR

NR

Serial for 24–28 h

NR

Yes

Selective

Velmahos et al. [12] (USA, 2005)

Prospective

2002–2004

I

273

103

27

11

NR

NR

NR

Mandatory

Omoshoro-Jones et al. [49] (SA, 2005)

Prospective

2000–2002

I

124

33

25

NR

Serial for 48 h

NR

Yes

Mandatory

Múnera et al. [11] (USA, 2004)

Prospective

2000–2002

I

47

36

23.5

NR

NR

NR

NR

Mandatory

Velmahos et al. [39] (USA, 2001)

Retrospective

1993–2000

I

1856

792

25

3

Frequent for 12–24 h

Same resident with active involvement of attending staff

NR

Selective

Demetriades et al. [50] (USA, 1999)

Retrospective

1994–1998

I

52

16

30

17.5

Serial for 24 h

NR

Yes

Mandatory

Velmahos et al. [67] (USA, 1998)

Retrospective

1994–1995

I

54

4

26.2

20

NR

Trauma team

NR

Mandatory

Adesanya et al. [57] (Nigeria, 1998)

Prospective

1992–1996

NR

78

14

30

NR

NR

Consultant surgeon

NR

NR

Velmahos et al. [43] (USA, 1997)

Prospective

1994–1995

I

192

130

24

NR

Serial

NR

Yes

Selective

Demetriades et al. [51] (USA, 1997)

Prospective

1994–1995

I

309

106

24.7

NR

24 h

Admitting surgeon

Yes

Selective

Wessells et al. [34] (USA, 1997)

Retrospective

1980–1995

NR

45

4

30.6

NR

NR

NR

Yes

Selective

Chmielewski et al. [41] (USA, 1995)

Prospective

1991–1994

I

184

12

NR

NR

48 h

NR

Yes

Selective

Renz and Feliciano [42] (USA, 1994)

Prospective

1990–1993

I

32

13

NR

NR

Frequent

Resident, at least twice a day by the primary investigator

Yes

Selective

Demetriades et al. [52] (USA, 1991)

Prospective

1988–1990

NR

146

41

28

NR

Regular

Same surgeon

NR

NR

Muckart et al. [53] (SA, 1990)

Prospective

Jul–Aug, 1988

NR

111

22

24

NR

2-hourly

NR

NR

NR

McAlvanah and Shaftan [54] (USA, 1978)

Prospective

1963–1971

NR

221

101

NR

NR

Every ½ to 1 h for 24–36 h

NR

NR

NR

Lowe et al. [55] (USA, 1977)

Retrospective

1972–1974

NR

362

55

27.8

NR

48 h

Surgical resident supervised by attending staff

NR

Selective

Taylor [68] (USA, 1973)

Retrospective

1962–1970

NR

254

8

NR

NR

NR

NR

NR

NR

Richter and Zaki [58] (USA, 1967)

Retrospective

1957–1966

NR

35

13

NR

NR

NR

Surgeon

NR

NR

Ryzoff et al. [56] USA, 1966)

Retrospective

1956–1963

NR

50

17

NR

NR

Frequent

NR

NR

NR

  1. abdo abdominal, CT computed tomography, GSW gunshot wound, ISS Injury Severity Score, NR not reported, SA South Africa, SNOM selective nonoperative management, USA United States of America