Skip to main content

Table 3 Pooled risk of complications associated with selective nonoperative management of abdominal gunshot wounds

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

Complications No. of studies No. of patients Pooled risk, % (95% CI) I2 statistic, % p value for the test of homogeneity
Pneumonia 7 20 1.4 (0.1–2.7) 61.7 0.02
Atelectasis 2 7 21.2 (7.0–35.4) 0 0.36
ARDS 5 8 1.0 (0–2.6) 43.8 0.13
Sepsis 4 6 0.3 (0–1.0) 36.2 0.20
Any intra-thoracic complication* 5 25 11.6 (3.5–19.7) 79.0 0.001
Any intra-abdominal collection 7 16 0.8 (0.3–1.2) 0 0.49
Hematuria 2 3 1.5 (0.5–2.5) 98.8 0.003
Biliary fistula 3 8 3.5 (0–8.0) 99.5 < 0.001
Gunshot wound infection 2 3 6.0 (3.1–8.9) 0 0.71
Deep venous thrombosis 2 2 0.5 (0–1.4) 0 0.40
Ileus 4 4 0.2 (0–0.4) 0 0.43
Abdominal compartment syndrome 1 1 6.0 (0.2–30) NA NA
Necrotizing fasciitis 1 1 3.0 (0.1–16.0) NA NA
  1. ARDS acute respiratory distress syndrome
  2. *Intra-thoracic complications included pneumothorax, hemothorax, empyema, and pleural effusion(s)
  3. Intra-abdominal collection included abscess, hematoma, urinoma, or biloma