Clinico – Epidemiological Profile, Pattern and Outcome of Abdominal Trauma in A Level 1 Trauma Centre in South India

Kundlas, Rajiv; Rajagopalan, Govindarajan; Alexis, Joseph; Jagadish, Sadasivan; TP, Elamurugan

doi:10.21276/ijcmr.2020.7.5.29

Cited by 2 publications

(5 citation statements)

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“…The most common clinical symptoms in this study were abdominal pain 117(94.4), low blood pressure 44 (35.5%) and bloating 21(16.9%). It is similar with research conducted in South India which reveals that commonest clinical manifestations are abdominal pain 92.1%, hypotension 28.1% and abdominal distension 17.6% [5]. The possible scienti c reasons may be related to nerve damage that can cause pain;…”

Section: Discussionsupporting

confidence: 85%

“…showing that stab injury and RTA accounted 57.5% and 55% respectively, in North America stab injury was 48.1% and in India RTA was 48% [1,5,15].Similarity of road tra c accident and stab injury between our study result and study done at St. Paul may be due to similar setting, unlicensed drivers and driving after taking alcohol. This is also similar result with study done in North America and India this may be due to interpersonal violence, homicidal activities and driving after drinking alcohols.…”

Section: Discussionsupporting

confidence: 59%

“…The result of this study showed that bowel 41(62.1%) was the most frequently hollow organ injured by penetrating abdominal trauma and liver 7(38.9%) was the most commonly injured solid organs by blunt abdominal trauma. While comparing this result with the research done in South India, Uganda and Tanzania the percentage of bowel injury is less than the result of the present study (18%, 22.9% and 56%) secondary to PAT and on the contrary the commonest solid organs injured following blunt abdominal trauma was spleen (27.5%) [4,5,7]. This difference may be due to sample size variation and diagnostic methods used.…”

Section: Discussioncontrasting

confidence: 58%

“…The above nding is in disagreement with the research conducted in South India which stated that majority 59.5% of the patients were discharged within 10 days. 5 According to the recent study almost three quarter of the patients (91.9%) were discharged with alive and 10(8.1%) patients died, similar to the study done in Egypt,90% of the patients were discharged with alive and 10 of the patients died, in Nigeria 92.48% of the patients discharged with alive and 7.52% were died [8,17].The possible reason of majorities' improvement may be hospital level of being trauma center, inter-displinary health professional based care for patients, and early disposal of patients to respected ward based of severity of injury.…”

Section: Discussionmentioning

confidence: 99%

“…The mechanism of injury can be blunt or penetrating [3] and abdominal injury can also be intentional or unintentional (accidental) [4]. Abdominal visceral injury was de ned as injury to the spleen, liver, stomach, intestine, mesentery, pancreas, or kidney [5].…”

Section: Introductionmentioning

confidence: 99%

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Pattern and Outcome of Abdominal Injury Patients Admitted in AaBET Hosital, Addis Ababa, Ethiopia, 2020/2021

Muche

Kebede

Michael

et al. 2023

Preprint

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Background Abdominal trauma is a major public health problem for all nations and all socioeconomic strata and associated with high morbidity and mortality in the world. Abdominal injury is classified as blunt and penetrating trauma. The main problems for inadequate treatment outcome are misdiagnosis and delayed arrival of patients to health institutions. Objective The aim of this study was to assess the pattern and outcome of abdominal trauma in AaBET hospital, Addis Ababa, Ethiopia from March 2021 to April 2021. Method: Institutional based retrospective cross-sectional study was conducted among abdominal trauma patients admitted in AaBET hospital emergency department from January 2018 to January 2021. Data was collected using a pre-tested structured checklist from patient`s chart review. The data was checked for its’ completeness and entered into Epi data version 3.1 then exported to SPSS version 25 software for analysis. Descriptive statistics and logistic regression models were used to describe frequency distribution and associations between independent variables respectively. Result Penetrating abdominal injury 58.9% was the greatest proportion of mechanism of abdominal injury. Stab injury 40(55.56%) was the major cause of penetrating injury. Road traffic accident 24(47.1%) was the commonest cause of blunt abdominal trauma. Bowel 41(62.1%) was the highly injured hollow viscous organ in penetrating abdominal trauma and liver 7(38.9%) was the commonest injured solid organ in blunt abdominal trauma. Conclusion Among 124 abdominally injured patient 10(8.1%) died. GCS < 9, post-operative hemodynamic complication, past medical history of illness and bowel evisceration were significantly associated with mortality.

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Section: Discussionsupporting

confidence: 85%

Section: Discussionsupporting

confidence: 59%

Section: Discussioncontrasting

confidence: 58%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Pattern and Outcome of Abdominal Injury Patients Admitted in AaBET Hosital, Addis Ababa, Ethiopia, 2020/2021

Muche

Kebede

Michael

et al. 2023

Preprint

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Mortality and its predictors in abdominal injury across sub-Saharan Africa: systematic review and meta-analysis

Endeshaw,

Delie,

Adal

et al. 2024

BMC Emerg Med

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Background Abdominal injuries exert a significant impact on global morbidity and mortality. The aggregation of mortality data and its determinants across different regions holds immense importance for designing informed healthcare strategies. Hence, this study assessed the pooled mortality rate and its predictors across sub-Saharan Africa. Method This meta-analysis employed a comprehensive search across multiple electronic databases including PubMed, Africa Index Medicus, Science Direct, and Hinari, complemented by a search of Google Scholar. Subsequently, data were extracted into an Excel format. The compiled dataset was then exported to STATA 17 statistical software for analysis. Utilizing the Dersimonian-Laird method, a random-effect model was employed to estimate the pooled mortality rate and its associated predictors. Heterogeneity was evaluated via the I2 test, while publication bias was assessed using a funnel plot along with Egger's, and Begg's tests. Result This meta-analysis, which includes 33 full-text studies, revealed a pooled mortality rate of 9.67% (95% CI; 7.81, 11.52) in patients with abdominal injuries across sub-Saharan Africa with substantial heterogeneity (I2 = 87.21%). This review also identified significant predictors of mortality. As a result, the presence of shock upon presentation demonstrated 6.19 times (95% CI; 3.70-10.38) higher odds of mortality, followed by ICU admission (AOR: 5.20, 95% CI; 2.38-11.38), blunt abdominal injury (AOR: 8.18, 95% CI; 4.97-13.45), post-operative complications (AOR: 8.17, 95% CI; 4.97-13.44), and the performance of damage control surgery (AOR: 4.62, 95% CI; 1.85-11.52). Conclusion Abdominal injury mortality is notably high in sub-Saharan Africa. Shock at presentation, ICU admission, blunt abdominal injury, postoperative complications, and use of damage control surgery predict mortality. Tailored strategies to address these predictors could significantly reduce deaths in the region.

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Clinico – Epidemiological Profile, Pattern and Outcome of Abdominal Trauma in A Level 1 Trauma Centre in South India

Cited by 2 publications

References 0 publications

Pattern and Outcome of Abdominal Injury Patients Admitted in AaBET Hosital, Addis Ababa, Ethiopia, 2020/2021

Pattern and Outcome of Abdominal Injury Patients Admitted in AaBET Hosital, Addis Ababa, Ethiopia, 2020/2021

Mortality and its predictors in abdominal injury across sub-Saharan Africa: systematic review and meta-analysis

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