{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T08:51:05Z","timestamp":1791535865929,"version":"4.3.4"},"reference-count":37,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T00:00:00Z","timestamp":1791504000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T00:00:00Z","timestamp":1791504000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000297","name":"Royal College of Surgeons of England","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000297","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000266","name":"Engineering and Physical Sciences Research Council","doi-asserted-by":"publisher","award":["EP\/W524633\/1\u20102891561"],"award-info":[{"award-number":["EP\/W524633\/1\u20102891561"]}],"id":[{"id":"10.13039\/501100000266","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Vascular injuries are common to trauma and carry a high risk to limb and life. Integrating specialist vascular care into existing trauma systems is essential; however, global data on this topic remains limited. This study describes global patterns of abdominal vascular trauma, through secondary analysis of the Global Outcomes After Laparotomy for Trauma (GOAL\u2010Trauma) study dataset, examining system\u2010 and patient\u2010level differences across resource settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Patients of any age with blunt or penetrating trauma who underwent an abdominal vascular procedure during trauma laparotomy were included. Patient characteristics, injury patterns, peri\u2010operative factors, and outcomes were recorded. Data were summarized using descriptive statistics and differences across Human Development Index (HDI) tertiles were analyzed with the Kruskal\u2013Wallis or \u03c7\n                      <jats:sup>2<\/jats:sup>\n                      tests, where appropriate.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 178 patients from 82 hospitals across 33 countries were included, representing one in 10 patients (178 of 1769) of the original dataset. A higher proportion of patients had vascular procedures in the upper HDI tertile (64 of 492, 13.0%), compared to middle (82 of 714, 11.5%) and lower (32 of 563, 5.7%) HDI tertiles. The median time from injury to operation was 5.0\u00a0hours (IQR 2.0\u20139.0). Among patients who were hypotensive on presentation, time from arrival to operation was significantly longer in the lower HDI tertile (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.033). The most common regions of vascular injury were the inferior vena cava (37 patients, 20.8%) and iliac vein (30 patients, 16.9%). Thirty day post\u2010operative mortality was 17.4% (31 of 178 patients), with only around half of the patients (94 of 178, 52.8%) discharged to their usual place of residence.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>As trauma systems become integrated into national healthcare services, prioritizing vascular care is crucial. There remains considerable variation in the provision of vascular services in trauma globally, yet given the time\u2010critical nature of vascular injuries, it is essential to ensure effective, integrated care pathways.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/wjs.70596","type":"journal-article","created":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T08:20:01Z","timestamp":1791534001000},"source":"Crossref","is-referenced-by-count":0,"title":["Global Disparity Within the Management of Traumatic Abdominal Vascular Injuries: Analysis of a Global Dataset"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5734-3926","authenticated-orcid":false,"given":"J.","family":"Amoako","sequence":"first","affiliation":[{"name":"University of Ghana Medical School  Accra Ghana"},{"name":"Department of Surgery Korle Bu Teaching Hospital  Accra Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1879-1093","authenticated-orcid":false,"given":"M. F.","family":"Bath","sequence":"additional","affiliation":[{"name":"Department of Engineering International Health Systems Group University of Cambridge  Cambridge UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1919-0193","authenticated-orcid":false,"given":"K.","family":"Kohler","sequence":"additional","affiliation":[{"name":"Department of Engineering International Health Systems Group University of Cambridge  Cambridge UK"},{"name":"Department of Anaesthesia Cambridge University Hospitals NHS Foundation Trust  Cambridge UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Caceres","sequence":"additional","affiliation":[{"name":"Critical Care Department Cl\u00ednica Universidad de la Sabana  Ch\u00eda Cundinamarca Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9892-3131","authenticated-orcid":false,"given":"G.","family":"Aryee","sequence":"additional","affiliation":[{"name":"University of Ghana Medical School  Accra Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0995-2943","authenticated-orcid":false,"given":"L.","family":"Hobbs","sequence":"additional","affiliation":[{"name":"Department of Engineering International Health Systems Group University of Cambridge  Cambridge UK"},{"name":"Department of Anaesthesia East &amp; North Hertfordshire NHS Trust  Stevenage UK"},{"name":"NIHR Global Health Research Group on Acquired Brain and Spine Injury  Cambridge UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3118-3888","authenticated-orcid":false,"given":"T. G.","family":"Weiser","sequence":"additional","affiliation":[{"name":"Department of Surgery Stanford University  Palo Alto California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4807-8803","authenticated-orcid":false,"given":"Z.","family":"Perkins","sequence":"additional","affiliation":[{"name":"Major Trauma Service Royal London Hospital Barts Health NHS Trust  London UK"},{"name":"Centre for Trauma Sciences Blizard Institute Queen Mary University of London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3967-0234","authenticated-orcid":false,"given":"T. C.","family":"Hardcastle","sequence":"additional","affiliation":[{"name":"KwaZulu\u2010Natal Department of Health Trauma and Burns Unit Inkosi Albert Luthuli Central Hospital  Durban South Africa"},{"name":"Department of Surgical Sciences Nelson R Mandela School of Clinical Medicine (NRMSM) University of KwaZulu\u2010Natal  Durban South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0228-9779","authenticated-orcid":false,"given":"T.","family":"Bashford","sequence":"additional","affiliation":[{"name":"Department of Engineering International Health Systems Group University of Cambridge  Cambridge UK"},{"name":"Department of Anaesthesia Cambridge University Hospitals NHS Foundation Trust  Cambridge UK"},{"name":"NIHR Global Health Research Group on Acquired Brain and Spine Injury  Cambridge UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"the GOAL\u2010Trauma Collaborative","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,9]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"World Health Organization \u201cFact Sheet: Injuries and Violence \u201d (2024) https:\/\/www.who.int\/news\u2010room\/fact\u2010sheets\/detail\/injuries\u2010and\u2010violence."},{"key":"e_1_2_11_3_1","volume-title":"Essential Surgery: Disease Control Priorities","author":"Gosselin R. 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