Are traumatic bilateral adrenal injuries associated with higher morbidity and mortality?-A prospective observational study

Traumatic bilateral adrenal injuries are uncommon. Adrenal injuries are overall associated with worse outcome than non-adrenal injuries. However, direct comparative evidence between unilateral and bilateral adrenal injuries is unavailable in literature. This study aims to investigate clinical signif...

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Bibliographic Details
Published in:Journal of trauma management and outcomes 2015-08, Vol.9 (1), p.6-6, Article 6
Main Authors: Panda, Ananya, Kumar, Atin, Gamanagatti, Shivanand, Bhalla, Ashu Seith, Sharma, Raju, Kumar, Subodh, Mishra, Biplab
Format: Article
Language:English
Subjects:
Activities of daily living
Biological products
Coma
Comparative analysis
Development and progression
Forecasts and trends
Morbidity
Mortality
Patient outcomes
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Summary:Traumatic bilateral adrenal injuries are uncommon. Adrenal injuries are overall associated with worse outcome than non-adrenal injuries. However, direct comparative evidence between unilateral and bilateral adrenal injuries is unavailable in literature. This study aims to investigate clinical significance of bilateral adrenal hematomas in terms of injury severity, morbidity and mortality. All blunt trauma abdomen patients with adrenal gland involvement on initial CECT scans of abdomen presenting to our Level 1 trauma centre over 21 months were prospectively included and followed-up. Patients were divided into unilateral and bilateral adrenal hematoma groups. For all patients, mechanism of injury, initial pulse, blood pressure, respiratory rate, Glasgow Coma Scale (GCS) scores, Injury Severity Score (ISS), New Injury Severity Score (NISS), length of ICU stay (LOI), length of hospital stay (LOS), total blood products (TBP) received were recorded. Final outcome was noted as complete recovery; discharge with poor prognosis and death. Quantitative parameters between both groups were compared using appropriate statistical tests and P 
ISSN:1752-2897
1752-2897
DOI:10.1186/s13032-015-0026-1