title: Traumatic injury to the colon and rectum in Scotland: demographics and outcome.
abstract: OBJECTIVE
  An analysis of a multi-centred database of trauma patients was performed.
  
  
  METHODS
  The study used data from a prospective multi-centre trauma database containing details of 52 887 trauma patients admitted to participating Scottish Hospitals over an 11-year period.
  
  
  RESULTS
  Three hundred and forty (0.64%) of 52 887 trauma patients (284 male) with colorectal injuries were identified; 43.9% of colorectal injuries occurred following blunt trauma and 56.1% following penetrating injury. Patients in the latter group were younger, had less haemodynamic compromise and were less likely to die than those with blunt trauma (P < 0.01). The overall mortality rate was 25.6% and after rectal injury it was 21.2% (P > 0.05). Female gender, increased age, road traffic accidents and those admitted as a result of a blunt traumatic injury were associated with increased mortality. Age > 65 years (P = 0.01), increasing injury severity score (ISS) at presentation (P < 0.001), haemodynamic compromise (P = 0.045) and decreased Glasgow Coma Score (GCS) (P < 0.001) had the strongest independent associations with mortality.
  
  
  CONCLUSIONS
  Colorectal injury after trauma has a high morbidity. Clinical features associated with death allow stratification of mortality risk.
authors.affiliation: Department of Surgery, Queen Margaret Hospital, NHS Fife, Scotland, UK. richardbrady@btinternet.com
authors.forename: R R
authors.initials: RR
authors.lastname: Brady
authors.forename: S
authors.initials: S
authors.lastname: O'Neill
authors.forename: O
authors.initials: O
authors.lastname: Berry
authors.forename: J J
authors.initials: JJ
authors.lastname: Kerssens
authors.forename: S
authors.initials: S
authors.lastname: Yalamarthi
authors.forename: R W
authors.initials: RW
authors.lastname: Parks
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016009:Chi-Square Distribution; D003106:Colon / Q000293:injuries*; D005260:Female; D006801:Humans; D015601:Injury Severity Score; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012007:Rectum / Q000293:injuries*; D012307:Risk Factors; D012606:Scotland / Q000453:epidemiology; D018709:Statistics, Nonparametric; D014947:Wounds and Injuries / Q000145:classification / Q000453:epidemiology*