Conclusions: Management of PNT by clinical and radiological signs is safe and effective, and can be streamlined by a decision-making algorithm as proposed here.", Multivariate correlation was r = 0.89, p = 0.045, between hard signs plus positive radiology findings and internal injury on neck exploration. Pre-operative radiological reports correlated with operative reports in 62% of cases with venous injury the most common positive and negative finding. 50% were definitively managed in theatre with a negative exploration rate of 38%, and 50% were managed in ED. Past psychiatric history was noted in 119 (38.4%), and 60 (19.4%) were intoxicated. A knife was the most common instrument 240 (77.4%). The most common causes of injury were assault 171 (55.2%) and deliberate self-harm 118 (38%). Results: Two hundred seventy-one (87.4%) male and 39 (13.6%) female patients with a mean age of 36 years (16–87) were identified. The correlation between clinical signs, and radiological reports to internal injury on surgical exploration. Main outcome measures: Patient demographics, mechanism of injury, morbidity and mortality. Data were extracted on hard and soft signs of vascular or aerodigestive tract injury, clinical management, radiological imaging and patient outcomes. Participants: Three hundred ten cases of PNT were drawn from electronic patient records. Setting: UK level I trauma centre April 2012–November 2017. Multivariate correlation was r = 0.89, p = 0.045, between hard signs plus positive radiology findings and internal injury on neck exploration.Ĭonclusions: Management of PNT by clinical and radiological signs is safe and effective, and can be streamlined by a decision-making algorithm as proposed here.Ībstract = "Objectives: To report the experience of civilian penetrating neck trauma (PNT) at a UK level I trauma centre, propose an initial management algorithm and assess the degree of correlation between clinical signs of injury, operative findings and radiological reports. Objectives: To report the experience of civilian penetrating neck trauma (PNT) at a UK level I trauma centre, propose an initial management algorithm and assess the degree of correlation between clinical signs of injury, operative findings and radiological reports.
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