{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T07:12:51Z","timestamp":1788592371503,"version":"build-2803163510"},"reference-count":18,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2022,3,25]],"date-time":"2022-03-25T00:00:00Z","timestamp":1648166400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2022,8]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Trauma is an important non-obstetric cause of mortality in pregnant females.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The National Trauma Databank (NTDB) was queried between 2017 and 2018. Pregnant women &gt;20\u00a0weeks gestation, who underwent trauma, were included. They were categorized into different age groups from 12-18, 18-35, and 36-50\u00a0years of age. The primary outcome measure was 30-day mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>1,058 pregnant trauma patients were included. Mean age was 26.7 \u00b1 6\u00a0years. Of those 94.5% had blunt and 3.8% had penetrating injuries. Median GCS and ISS were 15 (15, 15) and 2 (1, 5), respectively. Penetrating trauma patients required more operative intervention (57.5%) than blunt trauma patients (24.6%). Univariate analysis comparing age groups 12-18, 19-35, and &gt;36\u00a0years revealed differences. ( P &lt; .05) in ED systolic blood pressure (110.9 \u00b1 19.7 vs 117.3 \u00b1 20.3 vs 129.1 \u00b1 29.3 mmHg, P = .01) and diabetes mellitus (.0 vs 2.7% vs 6.6% P = .03). There was no difference in HLOS ( P = .72), complications ( P = .279), and mortality ( P = .32). Multivariate logistic regression analysis revealed that compared to patients 12-18 years old, patients 19 to 35 ( P = .27) or those &gt;36 ( P = 1.0) did not show a significant difference in mortality. Patients with high ISS had higher complication rates (OR 1.09; 95% CI 1.04-1.15) and prolonged HLOS (OR 1.00; 95% CI 1.07-1.15).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>On average pregnant women (&gt;20\u00a0weeks gestation) who presented to trauma centers had minor injuries and maternal age or mechanism of injury did not affect mortality. Despite a low ISS, a significant number of these patients required operative procedures.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00031348221083940","type":"journal-article","created":{"date-parts":[[2022,3,25]],"date-time":"2022-03-25T15:54:36Z","timestamp":1648223676000},"page":"1760-1765","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Maternal Outcomes After Trauma in Pregnancy: A National Database Study"],"prefix":"10.1177","volume":"88","author":[{"given":"Mahwash","family":"Siddiqi","sequence":"first","affiliation":[{"name":"Trauma and Burn Department, John H Stroger Hospital of Cook County, Chicago, IL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keren","family":"Guiab","sequence":"additional","affiliation":[{"name":"Trauma and Burn Department, John H Stroger Hospital of Cook County, Chicago, IL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Roberts","sequence":"additional","affiliation":[{"name":"Trauma and Burn Department, John H Stroger Hospital of Cook County, Chicago, IL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teresa","family":"Evan","sequence":"additional","affiliation":[{"name":"Trauma and Burn Department, John H Stroger Hospital of Cook County, Chicago, IL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tanzilan","family":"Nahar","sequence":"additional","affiliation":[{"name":"Trauma and Burn Department, John H Stroger Hospital of Cook County, Chicago, IL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vidhi","family":"Patel","sequence":"additional","affiliation":[{"name":"Trauma and Burn Department, John H Stroger Hospital of Cook County, Chicago, IL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gweniviere","family":"Capron","sequence":"additional","affiliation":[{"name":"Trauma and Burn Department, John H Stroger Hospital of Cook County, Chicago, IL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William","family":"Brigode","sequence":"additional","affiliation":[{"name":"Trauma and Burn Department, John H Stroger Hospital of Cook County, Chicago, IL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frederic","family":"Starr","sequence":"additional","affiliation":[{"name":"Trauma and Burn Department, John H Stroger Hospital of Cook County, Chicago, IL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Faran","family":"Bokhari","sequence":"additional","affiliation":[{"name":"Trauma and Burn Department, John H Stroger Hospital of Cook County, Chicago, IL, 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