{
    "abstract": "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.\nACS-TQIP (2020-2021) identified traumatically injured females aged \u226515 and\u00a0\u200b\u2264\u00a0\u200b55. 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.\nOf 947,000 traumatically injured females, 8421 (0.9\u00a0\u200b%) were pregnant. Pregnant patients (6.0\u00a0\u200b%) sustained firearm injuries more than not-pregnant patients (5.4\u00a0\u200b%) (p\u00a0\u200b=\u00a0\u200b0.02). Pregnant patients had more severe thoracic (47.2%vs.9.4\u00a0\u200b%) and abdominal injuries (7.1%vs.4.8\u00a0\u200b%) compared to not-pregnant patients (p\u00a0\u200b<\u00a0\u200b0.001). Among pregnant patients, 5.6\u00a0\u200b% had preterm labor, 2.6\u00a0\u200b% had cesarean sections, and 1.9\u00a0\u200b% had abortions. After matching, there was no significant difference in mortality between both groups (p\u00a0\u200b=\u00a0\u200b0.40). Pregnant patients had longer ICU LOS (p\u00a0\u200b<\u00a0\u200b0.05) and higher rates of unplanned return to ICU (p\u00a0\u200b<\u00a0\u200b0.05).\nPregnant 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.",
    "authors": [
        {
            "affiliation": "Westchester Medical Center, New York Medical College, Valhalla, NY, USA.",
            "firstname": "Anna Mary",
            "initials": "AM",
            "lastname": "Jose"
        },
        {
            "affiliation": "Westchester Medical Center, New York Medical College, Valhalla, NY, USA.",
            "firstname": "Aryan",
            "initials": "A",
            "lastname": "Rafieezadeh"
        },
        {
            "affiliation": "Westchester Medical Center, New York Medical College, Valhalla, NY, USA.",
            "firstname": "Jordan",
            "initials": "J",
            "lastname": "Kirsch"
        },
        {
            "affiliation": "Westchester Medical Center, New York Medical College, Valhalla, NY, USA.",
            "firstname": "Mikaiel",
            "initials": "M",
            "lastname": "Ebanks"
        },
        {
            "affiliation": "Westchester Medical Center, New York Medical College, Valhalla, NY, USA.",
            "firstname": "Ilya",
            "initials": "I",
            "lastname": "Shnaydman"
        },
        {
            "affiliation": "Westchester Medical Center, New York Medical College, Valhalla, NY, USA.",
            "firstname": "Gabriel",
            "initials": "G",
            "lastname": "Froula"
        },
        {
            "affiliation": "Westchester Medical Center, New York Medical College, Valhalla, NY, USA.",
            "firstname": "Kartik",
            "initials": "K",
            "lastname": "Prabhakaran"
        },
        {
            "affiliation": "Westchester Medical Center, New York Medical College, Valhalla, NY, USA. Electronic address: bardiya.zs@gmail.com.",
            "firstname": "Bardiya",
            "initials": "B",
            "lastname": "Zangbar"
        }
    ],
    "conclusions": null,
    "copyrights": "Copyright \u00a9 2024 Elsevier Inc. All rights reserved.",
    "doi": "10.1016/j.amjsurg.2024.116124",
    "journal": "American journal of surgery",
    "keywords": [
        "Obstetric",
        "Pregnancy",
        "Trauma"
    ],
    "methods": null,
    "publication_date": "2024-12-06",
    "pubmed_id": "39637602",
    "results": "Of 947,000 traumatically injured females, 8421 (0.9\u00a0\u200b%) were pregnant. Pregnant patients (6.0\u00a0\u200b%) sustained firearm injuries more than not-pregnant patients (5.4\u00a0\u200b%) (p\u00a0\u200b=\u00a0\u200b0.02). Pregnant patients had more severe thoracic (47.2%vs.9.4\u00a0\u200b%) and abdominal injuries (7.1%vs.4.8\u00a0\u200b%) compared to not-pregnant patients (p\u00a0\u200b<\u00a0\u200b0.001). Among pregnant patients, 5.6\u00a0\u200b% had preterm labor, 2.6\u00a0\u200b% had cesarean sections, and 1.9\u00a0\u200b% had abortions. After matching, there was no significant difference in mortality between both groups (p\u00a0\u200b=\u00a0\u200b0.40). Pregnant patients had longer ICU LOS (p\u00a0\u200b<\u00a0\u200b0.05) and higher rates of unplanned return to ICU (p\u00a0\u200b<\u00a0\u200b0.05).",
    "title": "Unveiling the impact of trauma during pregnancy.",
    "xml": "<Element 'PubmedArticle' at 0x7885054b9120>"
}