The authors intended to assess predictive factors of sepsis following colonic trauma as well as their epidemiological value. We studied 160 patients with colonic trauma in a level I trauma center. Risk factors analysis was based an age, trauma mechanism, wound topography, CIS score, ATI score, presence of shock, surgical technique level of, contamination and delay between trauma and surgical procedure. Septic conplications were considered as wound infection abdominal or retroperitoneal abscess, peritonitis and anastomotic dehiscence. A multiple logistic regression was used for statistical analysis. In this group 152, were males and the median age was 27.8 ± 12 years. There were 104 gunshot wounds, 38 stab wounds and 18 blunt trauma. Median ATI was 18 ± 9. Risk factors analysis for septic morbidity revealed statistical significance to these variables level of fecal contamination, CIS score, age and delay between trauma and operation. The typical for profile patients, with infection was: males older than 35 years, with penetrating trauma, CIS>3, moderate to severe fecal contamination and a delay of at least three hours between trauma and surgical procedure.
Abdominal sepsis; Intra-abdominal abscess; Abdominal trauma; Colon trauma
