Abstract | STUDY OBJECTIVES: DESIGN: Descriptive review of 309 blunt trauma admissions during study period. SETTING: A 1,000-bed Level I trauma center in a major metropolitan area. TYPE OF PARTICIPANTS: Consecutive adult blunt trauma admissions to the trauma service. INTERVENTIONS: Serum levels of study enzymes were measured at initial evaluation and subsequent hospitalization. Results of all intra-abdominal evaluations were recorded. MAIN RESULTS: Significantly greater numbers of patients with SGOT and/or SGPT elevated to more than 130 IU/L had associated intra- abdominal injuries as compared with patients with enzyme elevations of less than 130 IU/L (52% versus 8%). All 18 patients with liver injuries had one or both enzymes elevated to more than 130 IU/L. Higher enzyme levels were more frequently associated with liver injury. CONCLUSIONS: Elevation of serum levels of the study enzymes is a marker for intra- abdominal injury. Levels in excess of 130 IU/L are relative indicators of abdominal computed tomography scan. Levels of less than 130 IU/L are unlikely to be associated with liver injury.
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Authors | P Sahdev, R R Garramone Jr, R J Schwartz, S R Steelman, L M Jacobs |
Journal | Annals of emergency medicine
(Ann Emerg Med)
Vol. 20
Issue 8
Pg. 838-41
(Aug 1991)
ISSN: 0196-0644 [Print] United States |
PMID | 1854064
(Publication Type: Journal Article)
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Chemical References |
- Aspartate Aminotransferases
- Alanine Transaminase
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Topics |
- Abdominal Injuries
(blood, diagnosis)
- Adolescent
- Adult
- Aged
- Aged, 80 and over
- Alanine Transaminase
(blood)
- Aspartate Aminotransferases
(blood)
- Evaluation Studies as Topic
- Female
- Humans
- Liver
(injuries)
- Liver Function Tests
- Male
- Middle Aged
- Trauma Severity Indices
- Wounds, Nonpenetrating
(blood, diagnosis)
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