NYMC Faculty Publications

Unveiling the Impact of Trauma During Pregnancy

Author Type(s)

Faculty

DOI

10.1016/j.amjsurg.2024.116124

Journal Title

American Journal of Surgery

Document Type

Article

Publication Date

2-1-2025

Department

Medicine

Second Department

Surgery

Keywords

Obstetric, Pregnancy, Trauma

Disciplines

Medicine and Health Sciences

Abstract

Background: Pregnant trauma patients present unique challenges in terms of assessment and management. This study assesses the impact of traumatic injuries on pregnant patients using a national trauma database. Methods: ACS-TQIP (2020–2021) identified traumatically injured females aged ≥15 and ​≤ ​55. Propensity score matching compared pregnant and not-pregnant patients. Primary outcome was mortality, with secondary outcomes including length of stay (LOS), emergency department and discharge disposition, interventions, and complications. Results: Of 947,000 traumatically injured females, 8421 (0.9 ​%) were pregnant. Pregnant patients (6.0 ​%) sustained firearm injuries more than not-pregnant patients (5.4 ​%) (p ​= ​0.02). Pregnant patients had more severe thoracic (47.2%vs.9.4 ​%) and abdominal injuries (7.1%vs.4.8 ​%) compared to not-pregnant patients (p ​< ​0.001). Among pregnant patients, 5.6 ​% had preterm labor, 2.6 ​% had cesarean sections, and 1.9 ​% had abortions. After matching, there was no significant difference in mortality between both groups (p ​= ​0.40). Pregnant patients had longer ICU LOS (p ​< ​0.05) and higher rates of unplanned return to ICU (p ​< ​0.05). Conclusions: Pregnant patients are more often victims of firearm violence, sustaining critical thoracic and abdominal injuries. These injuries demand increased interventions, introduce complications, and can be fatal.

Link to Full Text

Share

COinS