Blunt abdominal trauma and organ damage and its prognosis

Abri, Babak; Vahdati, Samad Shams; Paknezhad, Seyedpouya; Majd, Pegah Sepehri; Alizadeh, Sarvin

doi:10.15171/jarcm.2016.038

Cited by 12 publications

(17 citation statements)

References 15 publications

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“…Kidney and splenic injuries were more common in the non-penetrating group. (11) The mortality rate in the present study was 3.3%, which is quite similar to the finding by the Abri et al, (8) Siddique et al, (11) Davis et al, (14) and Khan et al (15) Mehta et al in a study conducted among blunt trauma patients reported a mortality rate of 4%. (3)…”

Section: Discussionsupporting

confidence: 90%

“…In a study by Abri et al among blunt abdominal trauma patients 63.9% were male. (8) The current study also has reported a higher percentage of males that get affected by the abdominal trauma compared to the females. This may be due to the reason that males are more involved with outdoor activity.…”

Section: Discussionsupporting

confidence: 64%

“…According to the guideline provided by the Advanced Trauma Life Support (ATLS) the most important part of the trauma care is Airway, Breathing, and Circulation or in short, this process is known as ABC. (8) However, due to the less clear understanding of the trauma treatment and support often these three basic steps are missed. In addition, in resource-poor countries such as India, where CT scan and other advanced technique such as Focused Assessment Sonography for Trauma or FAST are unavailable in the many tertiary healthcare set up, the diagnosis of trauma becomes difficult.…”

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confidence: 99%

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Abdominal Injury and Its Outcome- A Prospective Study in a Tertiary Health Care Center

Singh¹,

Jina²

2019

jemds

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BACKGROUNDIn spite of the advancement in medical technology, trauma remains a major health threat causing significant mortality and morbidity worldwide. The aim of this study was to evaluate the incidence and cause of the various abdominal injuries and compare the incidence, management, and outcome of blunt trauma and penetrating trauma abdominal injuries. METHODSTotal 99 patients who had visited the surgery department BRD Medical College, Gorakhpur, U. P., from April 2016 to March 2017 (one-year period) were included in this prospective study. Both blunt as well as penetrating trauma patients were included in the study. After recording a detailed history, all relevant laboratory and radiological investigations were done. Depending on the initial test reports, patients underwent either operative or conservative treatment. Postoperative complications, if any, were also recorded. RESULTSIn the present study, majority of patients were in 11-20 years age group. Male to female ratio was found to be 5:1. Blunt trauma is more common than penetrating trauma with a ratio of 3.7:1, and in penetrating trauma stab injury is more common than gunshot injury with a ratio of 3:1. In blunt trauma abdomen, road traffic accident was the most common mode of injury (57.7%) followe d by falling from a height (30.8%) and assault (10.2%). In penetrating trauma abdomen, assault is the most common mode of injury (81%) followed by a road traffic accident (9.5%). Pain abdomen was the most common symptom (100%) in both groups. Most of the patients were treated by conservative management in both groups. A low mortality rate was reported in the present study (3.3%). CONCLUSIONSAbdominal trauma is one of the major health hazards among the younger male population. The most common mode of abdominal trauma is road traffic accident in the blunt trauma group, whereas in the penetrating group, gunshot and stabbing were the most common causes of injury. Conservative therapy was the most common mode of treatment in both groups. No major organ injuries were seen during radiological investigations. HOW TO CITE THIS ARTICLE: Singh UC. Jina A. Abdominal injury and its outcome-a prospective study in a tertiary health care center.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 64%

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confidence: 99%

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Abdominal Injury and Its Outcome- A Prospective Study in a Tertiary Health Care Center

Singh¹,

Jina²

2019

jemds

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“…There are also other causes such as violence, fighting, and sports. [1][2][3] Department of General Surgery, School of Medicine Udayana University/Sanglah General Hospital, Denpasar-Bali, Indonesia…”

Section: Introductionmentioning

confidence: 99%

“…kidney and spleen), mesenteric tear/s, unexplained moderate to large amounts of free fluid (200-500mls), and failed non-operative management. 2,5…”

Section: Introductionmentioning

confidence: 99%

Blunt abdominal trauma in Sanglah Hospital Bali, Indonesia: a study of 65 cases

Partama

Sueta

2019

Int J Res Med Sci

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Abdominal trauma is a challenge for every surgeon, whether related to diagnosis or treatment. In developing countries, the number of traumatic events associated with death makes it necessary for a study to be carried out to see the patterns and damage caused by abdominal trauma and the organs involved. Material and Method is all patients with blunt trauma of the abdomen who came to emergency unit Sanglah Hospital Bali, from January 2017 up to May 2018 that undergo laparotomy exploration were enrolled, the data were collected retrospectively using patient medical records. Results is 65 patients with blunt abdominal trauma came to the emergency department and undergoes laparotomy exploration, range of age was 4-74 year old and 75.3% of them were men. The most common injured organs were spleen and liver, both are 26 and 15 cases (40 and 23%). Another intraoperative finding are Ileum Perforation (10 cases) Left Zone II Retroperitoneal Haematoma (7 cases), and Mesenterium Rupture (5 cases). Splenectomy was the most performed procedure (26 cases). The most common cause of blunt abdominal trauma was motor vehicle accident. Hypovolemic shock was the most common clinical presentation (48 patient). The Conclusions are according to this study, men consisted 75.3% cases of blunt abdominal trauma and the range age of patients was 4-74 year old. The most common cause was motor vehicle accident. Among patients with intra-abdominal organ damage, spleen and liver were most commonly involved. About 84.6% of all patients with blunt abdominal trauma were discharged without complication and morbidity.

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Non-operative management of blunt abdominal solid organ trauma in adult patients

Ibrahim

Mousa

Hirshon

et al. 2020

African Journal of Emergency Medicine

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Introduction Despite agreement in the literature that “stable” blunt trauma patients may be managed conservatively, in Egypt many such patients receive operative management. This paper presents the results of a pragmatic, prospective, observational study to evaluate outcomes of non-operative (NOP) versus operative (OP) management of blunt abdominal solid organ trauma in hemodynamically stable adults admitted to Tanta University Emergency Hospital (TUH) in Egypt. Methods A prospective observational study enrolled adult blunt abdominal trauma patients with solid organ injury at TUH over a 3-year period (June 2014–June 2017). Inclusion criteria were age ≥18 yr, mean arterial pressure >65 mm Hg, heart rate <110 bpm, hematocrit ≥7 mg/dl, and abdominal organ injury diagnosed by ultrasound or computed tomography (CT). Excluded patients were those with pelvis and femur fractures; patients with penetrating abdominal trauma; predominate burn injuries, children and pregnant women. All patients were assigned to non-operative or operative management based on clinician preference. Outcomes of interest were 30-day mortality, blood transfusion volume, and length of stay. Descriptive statistics and χ 2 were used to compare outcomes. Results During the study period, 4254 trauma patients presented to TUH. Of these, 790 had blunt abdominal trauma and 111 (14.1%) met inclusion criteria. Injury severity scores for each group were comparable (24 ± 10 – NOP vs. 28 ± 11 – OP, p = 0.126). NOP received less transfused blood (213.41 ± 360.3 ml [NOP] vs.1155.17 ± 380.4 ml [OP] ( p < 0.0001)) but had a longer length of stay (8.29 ± 2.8 [NOP] vs. 6.45 ± 1.97 days [OP] ( p = 0.012)). There was no difference in mortality between groups ( p = 0.091). Conclusion Our study demonstrated that non-operative management in Egypt of blunt abdominal trauma was safe and resulted in fewer procedures, fewer units of blood transfused, and no increase in mortality. Longer length of stay for non-operative patients might reflect treating physician caution in their management.

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Blunt abdominal trauma and organ damage and its prognosis

Abstract: Citation: Abri B, Shams-Vahdati S, Paknezhad S, Sepehri-Majd P, Alizadeh S. Blunt abdominal trauma and organ damage and its prognosis.

Cited by 12 publications

References 15 publications

Abdominal Injury and Its Outcome- A Prospective Study in a Tertiary Health Care Center

Abdominal Injury and Its Outcome- A Prospective Study in a Tertiary Health Care Center

Blunt abdominal trauma in Sanglah Hospital Bali, Indonesia: a study of 65 cases

Non-operative management of blunt abdominal solid organ trauma in adult patients

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