{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,28]],"date-time":"2025-09-28T06:50:48Z","timestamp":1759042248743},"reference-count":17,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2017,6,20]],"date-time":"2017-06-20T00:00:00Z","timestamp":1497916800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2017,6,20]],"date-time":"2017-06-20T00:00:00Z","timestamp":1497916800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"funder":[{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","award":["UL1TR001064"],"award-info":[{"award-number":["UL1TR001064"]}],"id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2017,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The profile and management of self\u2010inflicted abdominal stab wounds (SI\u2010ASW) patients is still obscure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The National Trauma Data Bank (2012) was queried for adults with abdominal stab wounds (<jats:italic>n<\/jats:italic> = 9544). Patients with SI\u2010ASW (<jats:italic>n<\/jats:italic> = 1724) and non\u2010SI\u2010ASW (<jats:italic>n<\/jats:italic> = 7820) were compared. Predictors for non\u2010therapeutic laparotomy\/laparoscopy (non\u2010TL) in SI\u2010ASW patients were identified.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>SI\u2010ASW patients were older, had more females and behavioral disorders, similar physiology, but a lower Injury Severity Score. They had more laparotomies overall (54 versus 48%, <jats:italic>p<\/jats:italic> &lt; 0.0001) and more non\u2010TL (42 versus 32%, <jats:italic>p<\/jats:italic> &lt; 0.0001), but less injuries (43 versus 53%, <jats:italic>p<\/jats:italic> &lt; 0.0001), although peritoneal violation rate was similar. Complications and mortality were similar. In the SI\u2010ASW cohort, non\u2010TL patients were more likely to be female and younger, and to have Glasgow Coma Scale (GCS) \u226513 and a higher systolic blood pressure. History of psychiatric, drug and alcohol disorders was associated with SI\u2010ASW, but did not independently predict the need for treatment in adjusted models.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Patients with SI\u2010ASW underwent more non\u2010TL than patients with non\u2010SI\u2010ASW. Female gender, younger age, and a higher GCS and systolic blood pressure predicted non\u2010TL in this group.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-017-4083-7","type":"journal-article","created":{"date-parts":[[2017,6,20]],"date-time":"2017-06-20T17:20:38Z","timestamp":1497979238000},"page":"2681-2688","update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Self\u2010Inflicted Abdominal Stab Wounds Have a Higher Rate of Non\u2010therapeutic Laparotomy\/Laparoscopy and a Lower Risk of Injury"],"prefix":"10.1002","volume":"41","author":[{"given":"Nikolay","family":"Bugaev","sequence":"first","affiliation":[{"name":"Division of Trauma and Acute Care Surgery, Tufts Medical Center Tufts University School of Medicine 800 Washington st, #4488 02111 Boston MA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin","family":"McKay","sequence":"additional","affiliation":[{"name":"Tufts University School of Medicine 800 Washington st, #4488 02111 Boston MA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janis L.","family":"Breeze","sequence":"additional","affiliation":[{"name":"Tufts Clinical and Translational Science Institute Tufts University 800 Washington st, #63 02111 Boston MA USA"},{"name":"Institute for Clinical Research and Health Policy Studies Tufts Medical Center 800 Washington st, #63 02111 Boston MA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandra S.","family":"Arabian","sequence":"additional","affiliation":[{"name":"Division of Trauma and Acute Care Surgery, Tufts Medical Center Tufts University School of Medicine 800 Washington st, #4488 02111 Boston MA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reuven","family":"Rabinovici","sequence":"additional","affiliation":[{"name":"Division of Trauma and Acute Care Surgery, Tufts Medical Center Tufts University School of Medicine 800 Washington st, #4488 02111 Boston MA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,6,20]]},"reference":[{"key":"e_1_2_8_2_2","unstructured":"Centers for Disease Control and Prevention (CDC).Web\u2010based Injury Statistics Query and Reporting System (WISQARS)(2013 2011) National Center for Injury Prevention and Control CDC (producer).http:\/\/www.cdc.gov\/injury\/wisqars\/index.html. 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